Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.79 / $645.55 / $852.30	Facility		$361.79	$645.55	$852.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $404.53 / $1,380.60	Facility		$55.00	$404.53	$1,380.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,031.00 / $47,402.00 / $49,858.00	Facility		$20,031.00	$47,402.00	$49,858.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $355.06 / $613.10 / $773.95	Facility		$355.06	$613.10	$773.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $437.02 / $561.95 / $611.04	Facility		$437.02	$561.95	$611.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.53 / $404.53 / $416.78	Facility		$404.53	$404.53	$416.78
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00