Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.37 / $4,497.00 / $20,680.40	Facility		$153.37	$4,497.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $115.16 / $379.97	Facility		$55.00	$115.16	$379.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $157.87 / $211.80	Facility		$90.00	$157.87	$211.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.17 / $160.79 / $168.84	Facility		$110.17	$160.79	$168.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.70 / $113.70 / $115.16	Facility		$113.70	$113.70	$115.16
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00