Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.87 / $626.41 / $13,750.00	Facility		$105.87	$626.41	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $460.70 / $4,538.57 / $11,742.64	Facility		$460.70	$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 / $311.39 / $1,313.62	Facility		$104.09	$311.39	$1,313.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $513.54 / $691.56	Facility		$132.69	$513.54	$691.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.35 / $437.35 / $460.70	Facility		$437.35	$437.35	$460.70
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 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00