Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.80 / $676.71 / $17,100.00	Facility		$226.80	$676.71	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $579.52 / $5,167.93 / $11,429.12	Facility		$579.52	$5,167.93	$11,429.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $2,323.83	Facility		$564.00	$906.00	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $180.96 / $357.50 / $1,469.09	Facility		$180.96	$357.50	$1,469.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.56 / $483.74 / $1,435.73	Facility		$246.56	$483.74	$1,435.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.29 / $359.23 / $1,040.51	Facility		$358.29	$359.23	$1,040.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00