Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.72 / $565.47 / $17,100.00	Facility		$260.72	$565.47	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $314.38 / $577.67 / $2,000.00	Facility		$314.38	$577.67	$2,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.34 / $564.00 / $906.00	Facility		$166.34	$564.00	$906.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $179.29 / $318.36 / $594.24	Facility		$179.29	$318.36	$594.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.46 / $416.07 / $469.20	Facility		$181.46	$416.07	$469.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $314.38 / $319.44	Facility		$108.88	$314.38	$319.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00