Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.97 / $748.96 / $11,522.02	Facility		$187.97	$748.96	$11,522.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $112.64 / $676.85 / $1,324.12	Facility		$112.64	$676.85	$1,324.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.48 / $176.48 / $294.02	Facility		$176.48	$176.48	$294.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $145.30 / $251.45 / $595.10	Facility		$145.30	$251.45	$595.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.59 / $261.75 / $279.39	Facility		$185.59	$261.75	$279.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.64 / $188.00 / $190.57	Facility		$112.64	$188.00	$190.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $468.10 / $676.85 / $1,324.12	Facility		$468.10	$676.85	$1,324.12
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $910.00 / $5,793.00	Facility		$190.00	$910.00	$5,793.00