Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $387.54 / $17,100.00	Facility		$139.44	$387.54	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $190.71 / $345.15 / $16,394.00	Facility		$190.71	$345.15	$16,394.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $906.00	Facility		$564.00	$906.00	$906.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $107.50 / $188.49 / $345.28	Facility		$107.50	$188.49	$345.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.09 / $266.24 / $290.77	Facility		$152.09	$266.24	$290.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.71 / $190.71 / $191.48	Facility		$190.71	$190.71	$191.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,568.04 / $2,568.04 / $3,235.34	Facility		$2,568.04	$2,568.04	$3,235.34
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00