Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.85 / $969.15 / $13,750.00	Facility		$254.85	$969.15	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $977.82 / $5,068.58 / $12,000.00	Facility		$977.82	$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 $192.48 / $374.22 / $1,658.81	Facility		$192.48	$374.22	$1,658.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $278.72 / $705.41 / $787.25	Facility		$278.72	$705.41	$787.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.98 / $608.39 / $1,167.02	Facility		$536.98	$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