Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.34 / $465.04 / $20,680.40	Facility		$219.34	$465.04	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $221.65 / $2,922.50	Facility		$55.00	$221.65	$2,922.50
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 $154.69 / $330.61 / $406.95	Facility		$154.69	$330.61	$406.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $238.14 / $306.92 / $325.62	Facility		$238.14	$306.92	$325.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.06 / $221.06 / $221.65	Facility		$221.06	$221.06	$221.65
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00