Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.93 / $526.17 / $17,100.00	Facility		$240.93	$526.17	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $271.45 / $1,130.00 / $2,499.04	Facility		$271.45	$1,130.00	$2,499.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $564.00 / $906.00	Facility		$334.00	$564.00	$906.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $179.80 / $287.73 / $465.82	Facility		$179.80	$287.73	$465.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.71 / $345.84 / $397.98	Facility		$222.71	$345.84	$397.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $265.91 / $271.45	Facility		$150.57	$265.91	$271.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00