Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.93 / $3,170.00 / $14,464.32	Facility		$141.93	$3,170.00	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $813.53 / $4,777.50	Facility		$55.00	$813.53	$4,777.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $105.40 / $211.81 / $267.92	Facility		$105.40	$211.81	$267.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $159.40 / $207.90 / $221.10	Facility		$159.40	$207.90	$221.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.68 / $147.68 / $150.81	Facility		$147.68	$147.68	$150.81
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $5,793.00	Facility		$157.00	$648.00	$5,793.00