Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.87 / $1,710.00 / $11,522.02	Facility		$315.87	$1,710.00	$11,522.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $290.77 / $1,949.61 / $3,814.01	Facility		$290.77	$1,949.61	$3,814.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.81 / $548.57 / $644.92	Facility		$360.81	$548.57	$644.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $238.70 / $388.91 / $692.86	Facility		$238.70	$388.91	$692.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $293.67 / $451.98 / $662.04	Facility		$293.67	$451.98	$662.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.04 / $473.00 / $474.29	Facility		$162.04	$473.00	$474.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,522.99 / $1,993.85 / $3,814.01	Facility		$1,522.99	$1,993.85	$3,814.01
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00