Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.72 / $295.13 / $13,750.00	Facility		$169.72	$295.13	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $209.84 / $687.37 / $12,000.00	Facility		$209.84	$687.37	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.82 / $466.83 / $636.00	Facility		$185.82	$466.83	$636.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.83 / $226.25 / $312.27	Facility		$114.83	$226.25	$312.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $225.12 / $247.90	Facility		$166.32	$225.12	$247.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.90 / $169.09 / $299.75	Facility		$164.90	$169.09	$299.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $516.30 / $713.74 / $1,367.31	Facility		$516.30	$713.74	$1,367.31
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $869.86 / $1,417.76	Facility		$497.00	$869.86	$1,417.76