Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $583.92 / $14,464.32	Facility		$203.58	$583.92	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $342.75 / $2,404.65 / $4,941.05	Facility		$342.75	$2,404.65	$4,941.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,132.06	Facility		$714.97	$870.49	$1,132.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $273.68 / $840.73	Facility		$132.00	$273.68	$840.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.68 / $449.84 / $509.20	Facility		$218.68	$449.84	$509.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $342.75 / $927.31	Facility		$308.82	$342.75	$927.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,859.61 / $2,581.55 / $4,941.05	Facility		$1,859.61	$2,581.55	$4,941.05
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00