Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.97 / $959.16 / $17,930.00	Facility		$285.97	$959.16	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $986.58 / $5,068.58 / $16,394.00	Facility		$986.58	$5,068.58	$16,394.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,046.84	Facility		$625.25	$761.81	$2,046.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $212.51 / $433.51 / $1,795.02	Facility		$212.51	$433.51	$1,795.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $310.88 / $637.84	Facility		$253.20	$310.88	$637.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.19 / $608.39 / $1,167.02	Facility		$210.19	$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