Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.14 / $399.96 / $20,680.40	Facility		$188.14	$399.96	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $191.48 / $1,300.00	Facility		$55.00	$191.48	$1,300.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $19.32 / $63.58 / $63.58	Facility	AS	$19.32	$63.58	$63.58
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 $132.99 / $284.58 / $351.57	Facility		$132.99	$284.58	$351.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $202.86 / $265.44 / $280.73	Facility		$202.86	$265.44	$280.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $190.26 / $191.48	Facility		$190.26	$190.26	$191.48
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