Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.89 / $2,064.40 / $18,711.00	Facility		$210.89	$2,064.40	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $159.91 / $4,262.50	Facility		$55.00	$159.91	$4,262.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $842.00	Facility		$625.25	$761.81	$842.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.98 / $238.54 / $301.13	Facility		$110.98	$238.54	$301.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.99 / $222.64 / $235.17	Facility		$171.99	$222.64	$235.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.49 / $159.49 / $159.91	Facility		$159.49	$159.49	$159.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,775.94 / $2,775.94 / $3,497.26	Facility		$2,775.94	$2,775.94	$3,497.26
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,355.00 / $6,857.00	Facility		$650.00	$1,355.00	$6,857.00