Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $2,011.21 / $12,214.00	Facility		$159.22	$2,011.21	$12,214.00
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 $466.83 / $636.00 / $1,192.33	Facility		$466.83	$636.00	$1,192.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.28 / $784.23 / $1,807.32	Facility		$125.28	$784.23	$1,807.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $817.27 / $1,195.49 / $1,388.91	Facility		$817.27	$1,195.49	$1,388.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.83 / $855.96 / $902.38	Facility		$430.83	$855.96	$902.38
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