Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.92 / $1,279.39 / $13,750.00	Facility		$655.92	$1,279.39	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $400.01 / $703.78 / $11,500.00	Facility		$400.01	$703.78	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $500.00 / $568.48	Facility		$305.39	$500.00	$568.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $279.33 / $758.09 / $1,198.78	Facility		$279.33	$758.09	$1,198.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $605.83 / $925.94 / $1,031.80	Facility		$605.83	$925.94	$1,031.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $674.97 / $703.78	Facility		$77.31	$674.97	$703.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $433.36 / $667.91 / $1,278.36	Facility		$433.36	$667.91	$1,278.36
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00