Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.63 / $3,810.00 / $18,711.00	Facility		$192.63	$3,810.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,492.14 / $3,393.78	Facility		$55.00	$2,492.14	$3,393.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $715.69 / $1,192.33	Facility		$500.00	$715.69	$1,192.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $121.77 / $235.03 / $1,090.64	Facility		$121.77	$235.03	$1,090.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.29 / $203.56 / $214.88	Facility		$158.29	$203.56	$214.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $269.99 / $666.60	Facility		$143.15	$269.99	$666.60
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