Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.99 / $819.53 / $17,100.00	Facility		$296.99	$819.53	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $927.31 / $2,583.03 / $11,500.00	Facility		$927.31	$2,583.03	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,132.06	Facility		$625.25	$761.81	$1,132.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $211.12 / $413.49 / $871.71	Facility		$211.12	$413.49	$871.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.91 / $594.29 / $685.41	Facility		$316.91	$594.29	$685.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $467.51 / $927.31	Facility		$308.82	$467.51	$927.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,973.03 / $2,581.55 / $4,941.05	Facility		$1,973.03	$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