Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.10 / $928.05 / $22,024.00	Facility		$394.10	$928.05	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,313.96 / $5,000.00	Facility		$55.00	$1,313.96	$5,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,000.00 / $2,285.42	Facility		$714.97	$2,000.00	$2,285.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $311.04 / $629.41 / $802.18	Facility		$311.04	$629.41	$802.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $482.65 / $614.80 / $661.96	Facility		$482.65	$614.80	$661.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.50 / $438.50 / $451.52	Facility		$438.50	$438.50	$451.52
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