Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $4,497.00 / $20,680.40	Facility		$225.68	$4,497.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $168.63 / $563.14	Facility		$55.00	$168.63	$563.14
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 $128.25 / $224.96 / $304.55	Facility		$128.25	$224.96	$304.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.36 / $237.66 / $247.23	Facility		$162.36	$237.66	$247.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.80 / $165.80 / $168.63	Facility		$165.80	$165.80	$168.63
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00