Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.70 / $407.35 / $12,214.00	Facility		$175.70	$407.35	$12,214.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $444.76 / $5,772.11 / $12,000.00	Facility		$444.76	$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 $141.05 / $248.30 / $1,828.65	Facility		$141.05	$248.30	$1,828.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.61 / $290.24 / $313.75	Facility		$189.61	$290.24	$313.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.23 / $203.82 / $839.66	Facility		$200.23	$203.82	$839.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,768.81 / $11,041.39	Facility		$4,211.81	$5,768.81	$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