Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.02 / $5,128.00 / $21,917.86	Facility		$436.02	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,862.60 / $6,821.50	Facility		$55.00	$3,862.60	$6,821.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $233.12 / $474.85 / $602.82	Facility		$233.12	$474.85	$602.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.76 / $459.07 / $488.24	Facility		$354.76	$459.07	$488.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.25 / $325.25 / $329.95	Facility		$325.25	$325.25	$329.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,683.09 / $8,683.09 / $10,939.38	Facility		$8,683.09	$8,683.09	$10,939.38
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $666.00 / $6,216.00	Facility		$157.00	$666.00	$6,216.00