Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.71 / $672.25 / $10,122.46	Facility		$121.71	$672.25	$10,122.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $388.45 / $2,532.58 / $12,000.00	Facility		$388.45	$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 $102.38 / $330.66 / $878.67	Facility		$102.38	$330.66	$878.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.44 / $512.87 / $583.57	Facility		$302.44	$512.87	$583.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.05 / $407.70 / $671.06	Facility		$398.05	$407.70	$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 $425.00 / $887.00 / $4,611.00	Facility		$425.00	$887.00	$4,611.00