Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.97 / $1,635.23 / $20,680.40	Facility		$705.97	$1,635.23	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $769.59 / $5,205.20	Facility		$55.00	$769.59	$5,205.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $1,110.00 / $1,110.00	Facility		$1,110.00	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $719.49 / $951.05 / $1,413.16	Facility		$719.49	$951.05	$1,413.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $813.79 / $1,079.90 / $1,137.64	Facility		$813.79	$1,079.90	$1,137.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.59 / $760.59 / $769.59	Facility		$760.59	$760.59	$769.59
United Facility/Professional Facility Modifier Low / Median / High Price $501.00 / $1,323.00 / $5,793.00	Facility		$501.00	$1,323.00	$5,793.00