Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.56 / $4,500.00 / $18,711.00	Facility		$772.56	$4,500.00	$18,711.00
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 $642.00 / $642.00 / $2,876.24	Facility		$642.00	$642.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $754.50 / $1,280.34 / $2,522.36	Facility		$754.50	$1,280.34	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $828.32 / $990.71 / $1,220.74	Facility		$828.32	$990.71	$1,220.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.19 / $663.19 / $690.07	Facility		$663.19	$663.19	$690.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,818.83 / $6,600.21 / $12,632.68	Facility		$4,818.83	$6,600.21	$12,632.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,220.00 / $2,136.00 / $10,522.00	Facility		$1,220.00	$2,136.00	$10,522.00