Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.18 / $738.18 / $20,680.40	Facility		$328.18	$738.18	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $356.00 / $1,300.00	Facility		$55.00	$356.00	$1,300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $264.60 / $527.30 / $645.01	Facility		$264.60	$527.30	$645.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $496.28 / $521.92	Facility		$373.38	$496.28	$521.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.72 / $349.72 / $356.00	Facility		$349.72	$349.72	$356.00
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00