Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.86 / $819.25 / $16,398.00	Facility		$279.86	$819.25	$16,398.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $894.05 / $8,047.87 / $15,720.23	Facility		$894.05	$8,047.87	$15,720.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $189.28 / $382.80 / $2,136.38	Facility		$189.28	$382.80	$2,136.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.86 / $542.70 / $613.04	Facility		$297.86	$542.70	$613.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.76 / $418.16 / $2,218.36	Facility		$416.76	$418.16	$2,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
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