Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.25 / $2,812.16 / $18,711.00	Facility		$726.25	$2,812.16	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,603.99 / $12,632.68	Facility		$1,126.18	$6,603.99	$12,632.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $2,876.24	Facility		$479.00	$479.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $568.65 / $1,155.99 / $2,522.36	Facility		$568.65	$1,155.99	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $656.11 / $897.80 / $954.75	Facility		$656.11	$897.80	$954.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.22 / $629.22 / $651.23	Facility		$629.22	$629.22	$651.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00