Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.03 / $986.83 / $14,464.32	Facility		$502.03	$986.83	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $866.50 / $1,619.29 / $11,500.00	Facility		$866.50	$1,619.29	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $388.19 / $646.73	Facility		$388.19	$388.19	$646.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $357.43 / $598.25 / $921.88	Facility		$357.43	$598.25	$921.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $439.79 / $686.44 / $746.64	Facility		$439.79	$686.44	$746.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.81 / $497.39 / $499.96	Facility		$240.81	$497.39	$499.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,011.08 / $1,549.85 / $2,982.61	Facility		$1,011.08	$1,549.85	$2,982.61
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00