Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.14 / $874.06 / $20,680.40	Facility		$416.14	$874.06	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $421.29 / $4,021.94 / $11,709.09	Facility		$421.29	$4,021.94	$11,709.09
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 $395.96 / $683.92 / $847.21	Facility		$395.96	$683.92	$847.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $477.23 / $592.33 / $627.79	Facility		$477.23	$592.33	$627.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.29 / $421.29 / $425.01	Facility		$421.29	$421.29	$425.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,294.04 / $9,294.04 / $11,709.09	Facility		$9,294.04	$9,294.04	$11,709.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00