Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.07 / $397.58 / $20,680.40	Facility		$209.07	$397.58	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $706.96 / $2,800.00	Facility		$140.00	$706.96	$2,800.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $21.48 / $70.70 / $70.70	Facility	AS	$21.48	$70.70	$70.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $147.87 / $316.66 / $412.61	Facility		$147.87	$316.66	$412.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $236.67 / $294.73 / $312.89	Facility		$236.67	$294.73	$312.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $213.42	Facility		$212.00	$212.00	$213.42
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