Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.94 / $4,414.79 / $20,680.40	Facility		$89.94	$4,414.79	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $95.06 / $317.91	Facility		$55.00	$95.06	$317.91
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $9.60 / $31.79 / $31.79	Facility	AS	$9.60	$31.79	$31.79
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 $72.37 / $126.95 / $170.21	Facility		$72.37	$126.95	$170.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.52 / $132.00 / $139.36	Facility		$91.52	$132.00	$139.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $92.87 / $95.06	Facility		$92.87	$92.87	$95.06
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00