Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $5,128.00 / $18,711.00	Facility		$186.59	$5,128.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $141.34 / $4,354.72 / $5,875.77	Facility		$141.34	$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 $102.92 / $200.83 / $1,827.14	Facility		$102.92	$200.83	$1,827.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.26 / $184.28 / $209.71	Facility		$134.26	$184.28	$209.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.34 / $141.34 / $142.58	Facility		$141.34	$141.34	$142.58
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