Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.30 / $490.29 / $18,711.00	Facility		$201.30	$490.29	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $254.09 / $501.09 / $26,542.00	Facility		$254.09	$501.09	$26,542.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $250.69 / $436.92	Facility		$152.00	$250.69	$436.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.03 / $343.85 / $375.36	Facility		$200.03	$343.85	$375.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.09 / $254.09 / $255.95	Facility		$254.09	$254.09	$255.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,488.56 / $3,488.56 / $4,395.06	Facility		$3,488.56	$3,488.56	$4,395.06
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00