Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.28 / $405.56 / $12,214.00	Facility		$204.28	$405.56	$12,214.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $659.72 / $5,772.11 / $12,000.00	Facility		$659.72	$5,772.11	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $174.42 / $318.45 / $1,828.65	Facility		$174.42	$318.45	$1,828.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.05 / $299.49 / $320.26	Facility		$218.05	$299.49	$320.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.19 / $218.45 / $839.66	Facility		$210.19	$218.45	$839.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,772.11 / $11,041.39	Facility		$4,211.81	$5,772.11	$11,041.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00