Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $2,064.40 / $18,711.00	Facility		$38.83	$2,064.40	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $686.99 / $1,202.01	Facility		$55.00	$686.99	$1,202.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $870.49	Facility		$500.00	$714.97	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $46.14 / $270.29	Facility		$23.62	$46.14	$270.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $41.09 / $43.55	Facility		$30.87	$41.09	$43.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $29.25 / $29.45	Facility		$29.25	$29.25	$29.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $576.79 / $889.49 / $1,701.50	Facility		$576.79	$889.49	$1,701.50
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00