Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.80 / $684.86 / $18,711.00	Facility		$200.80	$684.86	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $753.72 / $6,622.22 / $12,667.56	Facility		$753.72	$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 $136.15 / $337.15 / $1,802.15	Facility		$136.15	$337.15	$1,802.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.95 / $452.25 / $522.60	Facility		$204.95	$452.25	$522.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.46 / $360.14 / $700.22	Facility		$356.46	$360.14	$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