Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.88 / $2,812.16 / $18,711.00	Facility		$186.88	$2,812.16	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $6,622.22 / $12,667.56	Facility		$925.25	$6,622.22	$12,667.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $2,430.19	Facility		$479.00	$479.00	$2,430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $128.74 / $248.62 / $2,131.19	Facility		$128.74	$248.62	$2,131.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $199.69 / $206.36	Facility		$148.96	$199.69	$206.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.09 / $134.09 / $700.22	Facility		$134.09	$134.09	$700.22
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