Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.55 / $2,064.40 / $14,464.32	Facility		$279.55	$2,064.40	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,122.39 / $1,320.19	Facility		$55.00	$1,122.39	$1,320.19
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 $233.74 / $715.17 / $2,233.71	Facility		$233.74	$715.17	$2,233.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $315.57 / $1,576.56 / $1,920.32	Facility		$315.57	$1,576.56	$1,920.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.39 / $1,122.39 / $1,180.97	Facility		$1,122.39	$1,122.39	$1,180.97
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00