Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.32 / $2,769.52 / $18,711.00	Facility		$215.32	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $159.49 / $1,914.50	Facility		$55.00	$159.49	$1,914.50
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 $138.60 / $249.14 / $345.15	Facility		$138.60	$249.14	$345.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $191.68 / $227.70 / $254.17	Facility		$191.68	$227.70	$254.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.55 / $158.55 / $159.49	Facility		$158.55	$158.55	$159.49
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00