Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.39 / $1,139.33 / $14,464.32	Facility		$243.39	$1,139.33	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $669.51 / $881.91	Facility		$55.00	$669.51	$881.91
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 $165.06 / $409.82 / $1,246.54	Facility		$165.06	$409.82	$1,246.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.80 / $881.88 / $990.26	Facility		$316.80	$881.88	$990.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.51 / $669.51 / $696.26	Facility		$669.51	$669.51	$696.26
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00