Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.23 / $5,917.63 / $17,100.00	Facility		$677.23	$5,917.63	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $6,622.22 / $14,645.34	Facility		$925.25	$6,622.22	$14,645.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,430.19	Facility		$642.00	$642.00	$2,430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $447.31 / $899.89 / $2,131.19	Facility		$447.31	$899.89	$2,131.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $505.82 / $699.48 / $734.32	Facility		$505.82	$699.48	$734.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.99 / $481.99 / $730.50	Facility		$481.99	$481.99	$730.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
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