Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.19 / $731.90 / $22,024.00	Facility		$313.19	$731.90	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,123.70 / $5,000.00	Facility		$55.00	$4,123.70	$5,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $243.95 / $470.32 / $612.30	Facility		$243.95	$470.32	$612.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $368.70 / $484.75 / $519.25	Facility		$368.70	$484.75	$519.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.47 / $342.47 / $354.18	Facility		$342.47	$342.47	$354.18
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00