Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.34 / $930.18 / $14,464.32	Facility		$241.34	$930.18	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $926.64 / $5,272.72 / $12,000.00	Facility		$926.64	$5,272.72	$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 $191.82 / $396.56 / $1,658.81	Facility		$191.82	$396.56	$1,658.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.85 / $732.17 / $818.74	Facility		$275.85	$732.17	$818.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.45 / $726.69 / $1,167.02	Facility		$558.45	$726.69	$1,167.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,118.93 / $5,392.38 / $10,315.01	Facility		$4,118.93	$5,392.38	$10,315.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00