Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.48 / $884.83 / $12,214.00	Facility		$249.48	$884.83	$12,214.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $638.08 / $2,511.87 / $16,394.00	Facility		$638.08	$2,511.87	$16,394.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,192.33	Facility		$625.25	$761.81	$1,192.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $214.85 / $488.80 / $1,045.64	Facility		$214.85	$488.80	$1,045.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $424.94 / $713.55 / $805.34	Facility		$424.94	$713.55	$805.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.83 / $561.72 / $666.60	Facility		$430.83	$561.72	$666.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,814.55 / $2,568.87 / $4,913.96	Facility		$1,814.55	$2,568.87	$4,913.96
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