Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.16 / $229.70 / $20,680.40	Facility		$97.16	$229.70	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $111.97 / $1,300.00	Facility		$55.00	$111.97	$1,300.00
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 $101.79 / $134.55 / $205.80	Facility		$101.79	$134.55	$205.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.17 / $156.40 / $164.15	Facility		$114.17	$156.40	$164.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.64 / $104.64 / $111.97	Facility		$104.64	$104.64	$111.97
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $916.00 / $4,271.00	Facility		$629.00	$916.00	$4,271.00