Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.58 / $271.58 / $439.18	Facility		$212.58	$271.58	$439.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $214.27 / $3,365.99 / $4,538.68	Facility		$214.27	$3,365.99	$4,538.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,691.00 / $36,898.00	Facility		$17,132.00	$17,691.00	$36,898.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $197.77 / $344.84 / $424.06	Facility		$197.77	$344.84	$424.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.66 / $298.80 / $321.64	Facility		$233.66	$298.80	$321.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.27 / $214.27 / $215.70	Facility		$214.27	$214.27	$215.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,671.75 / $2,671.75 / $3,365.99	Facility		$2,671.75	$2,671.75	$3,365.99
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $5,793.00	Facility		$497.00	$1,078.00	$5,793.00