Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.79 / $657.84 / $17,930.00	Facility		$254.79	$657.84	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $1,206.47 / $11,500.00	Facility		$730.43	$1,206.47	$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 $189.48 / $323.17 / $805.35	Facility		$189.48	$323.17	$805.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.35 / $279.39 / $542.99	Facility		$229.35	$279.39	$542.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.54 / $190.57 / $200.13	Facility		$187.54	$190.57	$200.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $883.88 / $1,201.74 / $2,223.27	Facility		$883.88	$1,201.74	$2,223.27
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00