Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.87 / $1,001.00 / $13,750.00	Facility		$173.87	$1,001.00	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,570.62 / $3,393.78	Facility		$55.00	$1,570.62	$3,393.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,192.33	Facility		$500.00	$870.49	$1,192.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $504.00 / $1,090.64	Facility		$133.44	$504.00	$1,090.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $861.91 / $968.82	Facility		$436.80	$861.91	$968.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.83 / $660.82 / $693.09	Facility		$430.83	$660.82	$693.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,665.80 / $2,568.87 / $4,913.96	Facility		$1,665.80	$2,568.87	$4,913.96
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