Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.78 / $871.32 / $14,464.32	Facility		$359.78	$871.32	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $817.73 / $3,269.98 / $12,000.00	Facility		$817.73	$3,269.98	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,499.24	Facility		$466.83	$568.48	$1,499.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $290.50 / $548.27 / $1,189.04	Facility		$290.50	$548.27	$1,189.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $427.96 / $709.49 / $820.06	Facility		$427.96	$709.49	$820.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.82 / $533.78 / $874.44	Facility		$531.82	$533.78	$874.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,168.55 / $3,344.18 / $6,397.05	Facility		$2,168.55	$3,344.18	$6,397.05
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