Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.26 / $5,116.62 / $20,680.40	Facility		$184.26	$5,116.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $144.51 / $4,354.72 / $5,875.77	Facility		$144.51	$4,354.72	$5,875.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.49 / $870.49 / $2,083.48	Facility		$870.49	$870.49	$2,083.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $101.56 / $199.45 / $1,827.14	Facility		$101.56	$199.45	$1,827.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $192.96 / $219.76	Facility		$138.66	$192.96	$219.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.51 / $144.51 / $149.90	Facility		$144.51	$144.51	$149.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,819.55 / $4,348.10 / $8,317.42	Facility		$2,819.55	$4,348.10	$8,317.42
United Facility/Professional Facility Modifier Low / Median / High Price $929.00 / $1,681.00 / $6,857.00	Facility		$929.00	$1,681.00	$6,857.00