Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.61 / $2,291.00 / $18,711.00	Facility		$206.61	$2,291.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $625.79 / $2,776.25 / $12,000.00	Facility		$625.79	$2,776.25	$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 $139.86 / $285.54 / $1,060.48	Facility		$139.86	$285.54	$1,060.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.90 / $219.72 / $267.89	Facility		$185.90	$219.72	$267.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.21 / $420.93 / $671.06	Facility		$152.21	$420.93	$671.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,889.92 / $2,590.05 / $4,954.47	Facility		$1,889.92	$2,590.05	$4,954.47
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