Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $236.57 / $20,680.40	Facility		$111.21	$236.57	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $365.00 / $4,277.30	Facility		$55.00	$365.00	$4,277.30
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $11.49 / $37.69 / $37.69	Facility	AS	$11.49	$37.69	$37.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $168.09 / $212.20	Facility		$78.73	$168.09	$212.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.56 / $158.12 / $166.16	Facility		$119.56	$158.12	$166.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.44 / $111.44 / $113.34	Facility		$111.44	$111.44	$113.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,279.83 / $4,279.83 / $5,391.93	Facility		$4,279.83	$4,279.83	$5,391.93
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $520.00 / $1,910.00	Facility		$107.00	$520.00	$1,910.00