Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.05 / $1,433.04 / $17,930.00	Facility		$757.05	$1,433.04	$17,930.00
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 $501.84 / $941.25 / $1,802.15	Facility		$501.84	$941.25	$1,802.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $670.67 / $1,011.69 / $1,106.83	Facility		$670.67	$1,011.69	$1,106.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.84 / $738.84 / $754.96	Facility		$738.84	$738.84	$754.96
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