Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.08 / $557.48 / $11,522.02	Facility		$247.08	$557.48	$11,522.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $284.82 / $450.45 / $12,000.00	Facility		$284.82	$450.45	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $500.00 / $636.00	Facility		$466.83	$500.00	$636.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $164.36 / $360.79 / $678.55	Facility		$164.36	$360.79	$678.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.77 / $512.05 / $586.91	Facility		$288.77	$512.05	$586.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.28 / $397.28 / $400.33	Facility		$397.28	$397.28	$400.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $276.51 / $362.00 / $692.47	Facility		$276.51	$362.00	$692.47
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00