Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.31 / $421.32 / $14,464.32	Facility		$210.31	$421.32	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $209.76 / $625.20 / $12,000.00	Facility		$209.76	$625.20	$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 $185.88 / $263.18 / $385.65	Facility		$185.88	$263.18	$385.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.13 / $288.10 / $322.27	Facility		$218.13	$288.10	$322.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.76 / $209.76 / $218.80	Facility		$209.76	$209.76	$218.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $580.97 / $580.97 / $731.93	Facility		$580.97	$580.97	$731.93
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00