Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.01 / $714.28 / $17,930.00	Facility		$260.01	$714.28	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $6,622.22 / $14,645.34	Facility		$925.25	$6,622.22	$14,645.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,430.19	Facility		$642.00	$642.00	$2,430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $176.03 / $374.46 / $1,802.15	Facility		$176.03	$374.46	$1,802.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.66 / $502.50 / $569.50	Facility		$266.66	$502.50	$569.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.60 / $384.60 / $730.50	Facility		$384.60	$384.60	$730.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00