Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.68 / $680.16 / $20,680.40	Facility		$318.68	$680.16	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $1,573.00 / $10,160.00	Facility		$187.00	$1,573.00	$10,160.00
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 $228.78 / $484.49 / $598.53	Facility		$228.78	$484.49	$598.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $347.90 / $452.84 / $477.04	Facility		$347.90	$452.84	$477.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.08 / $322.08 / $325.38	Facility		$322.08	$322.08	$325.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00