Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.50 / $2,127.62 / $14,464.32	Facility		$290.50	$2,127.62	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $6,207.20 / $12,667.56	Facility		$925.25	$6,207.20	$12,667.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $2,430.19	Facility		$1,031.00	$1,031.00	$2,430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $282.45 / $952.43 / $2,131.19	Facility		$282.45	$952.43	$2,131.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $472.28 / $1,409.68 / $1,695.10	Facility		$472.28	$1,409.68	$1,695.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $1,189.13 / $1,189.13	Facility		$925.25	$1,189.13	$1,189.13
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 $1,220.00 / $2,136.00 / $10,522.00	Facility		$1,220.00	$2,136.00	$10,522.00