Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.36 / $364.57 / $14,464.32	Facility		$182.36	$364.57	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $463.24 / $5,167.93 / $12,000.00	Facility		$463.24	$5,167.93	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.86 / $1,394.86 / $2,323.83	Facility		$1,394.86	$1,394.86	$2,323.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $136.40 / $242.00 / $1,749.26	Facility		$136.40	$242.00	$1,749.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.36 / $258.67 / $288.77	Facility		$175.36	$258.67	$288.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.35 / $196.97 / $911.96	Facility		$189.35	$196.97	$911.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00