Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.67 / $1,710.00 / $14,464.32	Facility		$89.67	$1,710.00	$14,464.32
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 $65.66 / $803.35 / $1,952.12	Facility		$65.66	$803.35	$1,952.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.64 / $1,360.11 / $1,445.19	Facility		$689.64	$1,360.11	$1,445.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.83 / $911.49 / $985.75	Facility		$430.83	$911.49	$985.75
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