Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $224.33 / $20,680.40	Facility		$138.66	$224.33	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $2,525.71 / $4,941.05	Facility		$101.91	$2,525.71	$4,941.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,132.06	Facility		$466.83	$568.48	$1,132.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.92 / $172.95 / $992.78	Facility		$88.92	$172.95	$992.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.50 / $146.60 / $159.82	Facility		$109.50	$146.60	$159.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $101.91 / $927.31	Facility		$77.92	$101.91	$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 $938.00 / $3,184.20 / $5,093.20	Facility		$938.00	$3,184.20	$5,093.20