Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.33 / $1,076.17 / $20,680.40	Facility		$506.33	$1,076.17	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $518.24 / $1,725.75	Facility		$55.00	$518.24	$1,725.75
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 $358.98 / $767.94 / $943.25	Facility		$358.98	$767.94	$943.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $546.35 / $718.77 / $759.78	Facility		$546.35	$718.77	$759.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $511.44 / $518.24	Facility		$511.44	$511.44	$518.24
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