Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $1,288.95 / $14,464.32	Facility		$77.83	$1,288.95	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $190.76 / $430.35	Facility		$55.00	$190.76	$430.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $403.62 / $1,029.36	Facility		$61.00	$403.62	$1,029.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $562.66 / $752.40	Facility		$71.81	$562.66	$752.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.45 / $404.45 / $430.35	Facility		$404.45	$404.45	$430.35
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00