Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.77 / $579.58 / $14,464.32	Facility		$118.77	$579.58	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $372.30 / $4,538.57 / $11,742.64	Facility		$372.30	$4,538.57	$11,742.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,497.91 / $1,497.91 / $1,497.91	Facility		$1,497.91	$1,497.91	$1,497.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $104.09 / $325.19 / $1,313.62	Facility		$104.09	$325.19	$1,313.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.69 / $358.25 / $418.83	Facility		$129.69	$358.25	$418.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.01 / $255.01 / $263.64	Facility		$255.01	$255.01	$263.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,943.06 / $4,535.97 / $8,681.78	Facility		$2,943.06	$4,535.97	$8,681.78
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,302.00 / $4,611.00	Facility		$648.00	$1,302.00	$4,611.00