Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.68 / $2,291.00 / $13,750.00	Facility		$168.68	$2,291.00	$13,750.00
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 $151.62 / $312.87 / $1,060.48	Facility		$151.62	$312.87	$1,060.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $239.35 / $292.13	Facility		$201.85	$239.35	$292.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.44 / $420.93 / $671.06	Facility		$164.44	$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