Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.24 / $310.99 / $20,680.40	Facility		$160.24	$310.99	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $200.00 / $1,300.00	Facility		$55.00	$200.00	$1,300.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $16.51 / $54.19 / $54.19	Facility	AS	$16.51	$54.19	$54.19
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 $113.77 / $242.65 / $298.41	Facility		$113.77	$242.65	$298.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.95 / $227.10 / $238.52	Facility		$173.95	$227.10	$238.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.72 / $161.72 / $162.69	Facility		$161.72	$161.72	$162.69
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