Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.23 / $2,291.00 / $18,711.00	Facility		$188.23	$2,291.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $192.40 / $1,300.00	Facility		$55.00	$192.40	$1,300.00
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 $133.30 / $265.05 / $338.84	Facility		$133.30	$265.05	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $266.77 / $282.07	Facility		$202.00	$266.77	$282.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.35 / $189.35 / $192.40	Facility		$189.35	$189.35	$192.40
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00