Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.77 / $3,925.18 / $18,711.00	Facility		$352.77	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $224.92 / $1,130.00 / $2,161.55	Facility		$224.92	$1,130.00	$2,161.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $644.92 / $1,110.00	Facility		$334.00	$644.92	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.10 / $360.01 / $527.25	Facility		$251.10	$360.01	$527.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $271.32 / $375.20 / $390.61	Facility		$271.32	$375.20	$390.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $255.95 / $266.43	Facility		$150.57	$255.95	$266.43
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