Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.79 / $876.00 / $12,214.00	Facility		$186.79	$876.00	$12,214.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $716.46 / $5,068.58 / $12,000.00	Facility		$716.46	$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 $152.50 / $383.13 / $1,658.81	Facility		$152.50	$383.13	$1,658.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $334.99 / $636.71 / $714.22	Facility		$334.99	$636.71	$714.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.16 / $501.47 / $1,167.02	Facility		$487.16	$501.47	$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