Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.50 / $2,219.84 / $17,930.00	Facility		$170.50	$2,219.84	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.97 / $2,076.06 / $11,500.00	Facility		$1,230.97	$2,076.06	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.85 / $536.85 / $894.39	Facility		$536.85	$536.85	$894.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.55 / $221.46 / $2,050.23	Facility		$117.55	$221.46	$2,050.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $180.89 / $195.16	Facility		$139.69	$180.89	$195.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.48 / $126.13 / $331.34	Facility		$125.48	$126.13	$331.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,522.99 / $1,993.85 / $3,814.01	Facility		$1,522.99	$1,993.85	$3,814.01
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00