Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.25 / $1,177.53 / $17,930.00	Facility		$523.25	$1,177.53	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $6,622.22 / $12,667.56	Facility		$925.25	$6,622.22	$12,667.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $2,430.19	Facility		$479.00	$479.00	$2,430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $372.28 / $698.25 / $1,802.15	Facility		$372.28	$698.25	$1,802.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.53 / $824.65 / $901.15	Facility		$549.53	$824.65	$901.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.57 / $606.57 / $700.22	Facility		$606.57	$606.57	$700.22
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