Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.10 / $4,497.00 / $20,680.40	Facility		$266.10	$4,497.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $203.82 / $681.22	Facility		$55.00	$203.82	$681.22
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 $156.00 / $273.64 / $367.86	Facility		$156.00	$273.64	$367.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.24 / $287.77 / $298.82	Facility		$196.24	$287.77	$298.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.49 / $202.49 / $203.82	Facility		$202.49	$202.49	$203.82
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00