Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.77 / $2,769.52 / $18,711.00	Facility		$141.77	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $104.20 / $2,581.55 / $4,941.05	Facility		$104.20	$2,581.55	$4,941.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,434.84	Facility		$466.83	$568.48	$1,434.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.29 / $173.58 / $1,258.30	Facility		$89.29	$173.58	$1,258.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.50 / $148.69 / $155.94	Facility		$109.50	$148.69	$155.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.26 / $104.20 / $927.31	Facility		$84.26	$104.20	$927.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,674.98 / $2,581.55 / $4,941.05	Facility		$1,674.98	$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