Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.66 / $2,064.40 / $14,464.32	Facility		$374.66	$2,064.40	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,021.06 / $4,038.06	Facility		$55.00	$1,021.06	$4,038.06
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 $246.21 / $764.40 / $2,237.78	Facility		$246.21	$764.40	$2,237.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $410.71 / $1,380.02 / $1,821.06	Facility		$410.71	$1,380.02	$1,821.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.86 / $989.86 / $1,021.06	Facility		$989.86	$989.86	$1,021.06
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $5,793.00	Facility		$157.00	$648.00	$5,793.00