Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.47 / $926.11 / $20,680.40	Facility		$435.47	$926.11	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $443.75 / $1,475.98	Facility		$55.00	$443.75	$1,475.98
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 $308.76 / $658.63 / $809.48	Facility		$308.76	$658.63	$809.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $469.42 / $615.26 / $650.57	Facility		$469.42	$615.26	$650.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.32 / $440.32 / $443.75	Facility		$440.32	$440.32	$443.75
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