Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.04 / $5,377.00 / $17,930.00	Facility		$248.04	$5,377.00	$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 $198.71 / $378.40 / $2,131.19	Facility		$198.71	$378.40	$2,131.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $220.59 / $265.51 / $409.37	Facility		$220.59	$265.51	$409.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.76 / $175.76 / $730.50	Facility		$175.76	$175.76	$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