Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.95 / $4,497.00 / $20,680.40	Facility		$257.95	$4,497.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $193.77 / $647.90	Facility		$55.00	$193.77	$647.90
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 $149.62 / $262.45 / $355.45	Facility		$149.62	$262.45	$355.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.56 / $273.60 / $284.08	Facility		$186.56	$273.60	$284.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.62 / $191.62 / $193.77	Facility		$191.62	$191.62	$193.77
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00