Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.49 / $395.63 / $13,750.00	Facility		$152.49	$395.63	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $481.55 / $4,594.55 / $11,887.47	Facility		$481.55	$4,594.55	$11,887.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,677.65	Facility		$1,007.00	$1,007.00	$1,677.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.30 / $234.35 / $1,436.99	Facility		$133.30	$234.35	$1,436.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.84 / $287.43 / $337.68	Facility		$168.84	$287.43	$337.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.59 / $230.33 / $625.69	Facility		$225.59	$230.33	$625.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00