Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $4,011.00 / $18,711.00	Facility		$318.35	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $241.75 / $2,079.11 / $16,394.00	Facility		$241.75	$2,079.11	$16,394.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $625.25 / $625.25	Facility		$625.25	$625.25	$625.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $169.57 / $337.45 / $431.03	Facility		$169.57	$337.45	$431.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $342.86 / $354.43	Facility		$250.00	$342.86	$354.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.03 / $231.03 / $241.75	Facility		$231.03	$231.03	$241.75
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00