Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.86 / $686.94 / $14,464.32	Facility		$284.86	$686.94	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $524.23 / $1,129.13 / $16,394.00	Facility		$524.23	$1,129.13	$16,394.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $746.00 / $842.00	Facility		$625.25	$746.00	$842.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $192.78 / $361.20 / $699.44	Facility		$192.78	$361.20	$699.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.24 / $516.57 / $571.51	Facility		$301.24	$516.57	$571.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.41 / $386.41 / $389.82	Facility		$386.41	$386.41	$389.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $524.23 / $1,128.49 / $2,159.90	Facility		$524.23	$1,128.49	$2,159.90
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00