Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.72 / $853.71 / $13,750.00	Facility		$235.72	$853.71	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $902.58 / $5,068.58 / $12,000.00	Facility		$902.58	$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 $176.64 / $341.43 / $1,658.81	Facility		$176.64	$341.43	$1,658.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $248.30 / $682.73 / $773.85	Facility		$248.30	$682.73	$773.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.84 / $608.39 / $1,167.02	Facility		$527.84	$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