Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.71 / $293.66 / $14,464.32	Facility		$141.71	$293.66	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $151.76 / $461.73 / $12,000.00	Facility		$151.76	$461.73	$12,000.00
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 $136.19 / $187.60 / $273.76	Facility		$136.19	$187.60	$273.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.68 / $217.08 / $227.13	Facility		$162.68	$217.08	$227.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.76 / $151.76 / $154.91	Facility		$151.76	$151.76	$154.91
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