Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.18 / $552.92 / $17,100.00	Facility		$173.18	$552.92	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $550.40 / $4,492.60 / $11,500.00	Facility		$550.40	$4,492.60	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,677.65	Facility		$625.25	$761.81	$1,677.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $119.62 / $252.00 / $1,258.98	Facility		$119.62	$252.00	$1,258.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $183.16 / $388.19 / $435.50	Facility		$183.16	$388.19	$435.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.05 / $300.79 / $1,323.75	Facility		$297.05	$300.79	$1,323.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,737.41	Facility		$3,264.85	$4,591.92	$8,737.41
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00