Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.78 / $2,769.52 / $18,711.00	Facility		$435.78	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $112.64 / $692.21 / $1,530.85	Facility		$112.64	$692.21	$1,530.85
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 $216.07 / $519.92 / $979.50	Facility		$216.07	$519.92	$979.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.67 / $538.45 / $655.93	Facility		$302.67	$538.45	$655.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.64 / $444.85 / $447.40	Facility		$112.64	$444.85	$447.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $505.09 / $705.40 / $1,351.35	Facility		$505.09	$705.40	$1,351.35
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00