Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.76 / $574.98 / $14,464.32	Facility		$187.76	$574.98	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $720.66 / $5,068.58 / $12,000.00	Facility		$720.66	$5,068.58	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $2,046.84	Facility		$466.83	$568.48	$2,046.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $159.15 / $333.90 / $1,658.81	Facility		$159.15	$333.90	$1,658.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.91 / $473.37 / $525.64	Facility		$274.91	$473.37	$525.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.00 / $608.39 / $1,167.02	Facility		$356.00	$608.39	$1,167.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,496.71 / $5,392.38 / $10,315.01	Facility		$3,496.71	$5,392.38	$10,315.01
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00