Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.14 / $4,497.00 / $20,680.40	Facility		$117.14	$4,497.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $87.29 / $289.13	Facility		$55.00	$87.29	$289.13
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 $67.12 / $117.74 / $159.37	Facility		$67.12	$117.74	$159.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $122.41 / $127.97	Facility		$83.84	$122.41	$127.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.52 / $86.52 / $87.29	Facility		$86.52	$86.52	$87.29
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00