Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.12 / $338.93 / $14,464.32	Facility		$110.12	$338.93	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $150.35 / $4,266.04 / $8,681.78	Facility		$150.35	$4,266.04	$8,681.78
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 $95.37 / $193.10 / $1,313.62	Facility		$95.37	$193.10	$1,313.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.59 / $213.48 / $253.93	Facility		$118.59	$213.48	$253.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.35 / $150.35 / $150.40	Facility		$150.35	$150.35	$150.40
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