Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $323.42 / $14,464.32	Facility		$155.44	$323.42	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $158.55 / $405.71 / $12,000.00	Facility		$158.55	$405.71	$12,000.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $22.08 / $40.57 / $40.57	Facility	AS	$22.08	$40.57	$40.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $731.00	Facility		$421.10	$731.00	$731.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.73 / $189.14 / $284.52	Facility		$118.73	$189.14	$284.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.86 / $224.90 / $238.52	Facility		$154.86	$224.90	$238.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.55 / $158.55 / $159.04	Facility		$158.55	$158.55	$159.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $908.79 / $908.79 / $1,144.93	Facility		$908.79	$908.79	$1,144.93
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00