Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.03 / $6,470.00 / $20,680.40	Facility		$790.03	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,603.99 / $14,605.02	Facility		$1,126.18	$6,603.99	$14,605.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $2,876.24	Facility		$734.00	$734.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $520.04 / $1,048.82 / $2,522.36	Facility		$520.04	$1,048.82	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $593.39 / $812.71 / $855.59	Facility		$593.39	$812.71	$855.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.16 / $562.16 / $646.66	Facility		$562.16	$562.16	$646.66
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 $500.00 / $1,050.00 / $6,857.00	Facility		$500.00	$1,050.00	$6,857.00