Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.92 / $675.27 / $13,750.00	Facility		$189.92	$675.27	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $610.50 / $3,269.98 / $12,000.00	Facility		$610.50	$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 $150.77 / $364.61 / $1,059.06	Facility		$150.77	$364.61	$1,059.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $285.58 / $502.82 / $561.46	Facility		$285.58	$502.82	$561.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.22 / $420.93 / $874.44	Facility		$380.22	$420.93	$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