Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.90 / $550.35 / $18,711.00	Facility		$244.90	$550.35	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $283.33 / $594.91 / $26,542.00	Facility		$283.33	$594.91	$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 $183.21 / $313.52 / $536.66	Facility		$183.21	$313.52	$536.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $249.55 / $391.28 / $433.16	Facility		$249.55	$391.28	$433.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.33 / $283.33 / $287.20	Facility		$283.33	$283.33	$287.20
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