Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.83 / $514.63 / $14,464.32	Facility		$204.83	$514.63	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $1,157.15 / $11,500.00	Facility		$730.43	$1,157.15	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.73 / $296.73 / $494.35	Facility		$296.73	$296.73	$494.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $171.13 / $307.69 / $562.42	Facility		$171.13	$307.69	$562.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.33 / $375.54 / $428.80	Facility		$200.33	$375.54	$428.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.13 / $290.37 / $292.48	Facility		$200.13	$290.37	$292.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $883.88 / $1,201.74 / $2,259.02	Facility		$883.88	$1,201.74	$2,259.02
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00