Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.45 / $4,500.00 / $18,711.00	Facility		$984.45	$4,500.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $940.61 / $6,622.22 / $14,645.34	Facility		$940.61	$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 $796.17 / $1,226.99 / $2,131.19	Facility		$796.17	$1,226.99	$2,131.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $934.43 / $1,240.83 / $1,313.87	Facility		$934.43	$1,240.83	$1,313.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.17 / $856.17 / $925.25	Facility		$856.17	$856.17	$925.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,832.13 / $6,618.43 / $12,667.56	Facility		$4,832.13	$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