Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.70 / $538.03 / $13,809.00	Facility		$210.70	$538.03	$13,809.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $279.50 / $1,130.00 / $6,405.60	Facility		$279.50	$1,130.00	$6,405.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $564.00 / $906.00	Facility		$334.00	$564.00	$906.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $169.44 / $291.44 / $529.96	Facility		$169.44	$291.44	$529.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.31 / $365.15 / $424.16	Facility		$221.31	$365.15	$424.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $279.50 / $281.51	Facility		$150.57	$279.50	$281.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00