Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.76 / $2,092.75 / $14,464.32	Facility		$161.76	$2,092.75	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $182.00 / $531.37	Facility		$55.00	$182.00	$531.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,349.00	Facility		$714.97	$870.49	$2,349.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $115.01 / $245.34 / $310.47	Facility		$115.01	$245.34	$310.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $188.65 / $227.77 / $237.32	Facility		$188.65	$227.77	$237.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.10 / $158.10 / $159.94	Facility		$158.10	$158.10	$159.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,990.41 / $3,990.41 / $5,027.31	Facility		$3,990.41	$3,990.41	$5,027.31
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00