Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.31 / $2,769.52 / $18,711.00	Facility		$278.31	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,792.62 / $24,104.80	Facility		$55.00	$15,792.62	$24,104.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $10,066.12	Facility		$500.00	$870.49	$10,066.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $188.58 / $373.20 / $10,505.18	Facility		$188.58	$373.20	$10,505.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.81 / $296.20 / $305.32	Facility		$229.81	$296.20	$305.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.30 / $1,679.99 / $5,702.53	Facility		$204.30	$1,679.99	$5,702.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,473.20 / $16,151.01 / $30,895.07	Facility		$10,473.20	$16,151.01	$30,895.07
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