Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.84 / $750.60 / $14,464.32	Facility		$169.84	$750.60	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $573.65 / $2,532.58 / $12,000.00	Facility		$573.65	$2,532.58	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,159.36	Facility		$466.83	$568.48	$1,159.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $384.99 / $912.48	Facility		$143.04	$384.99	$912.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.20 / $579.69 / $658.61	Facility		$289.20	$579.69	$658.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.54 / $460.70 / $671.06	Facility		$422.54	$460.70	$671.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,679.53 / $2,590.05 / $4,954.47	Facility		$1,679.53	$2,590.05	$4,954.47
United Facility/Professional Facility Modifier Low / Median / High Price $887.00 / $3,160.60 / $4,911.00	Facility		$887.00	$3,160.60	$4,911.00