Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.08 / $4,497.00 / $20,680.40	Facility		$124.08	$4,497.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $141.66 / $475.35	Facility		$55.00	$141.66	$475.35
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 $107.25 / $188.13 / $255.32	Facility		$107.25	$188.13	$255.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.40 / $199.92 / $207.70	Facility		$136.40	$199.92	$207.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.52 / $139.52 / $141.66	Facility		$139.52	$139.52	$141.66
United Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $648.00 / $5,793.00	Facility		$151.00	$648.00	$5,793.00