Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.30 / $903.36 / $22,024.00	Facility		$387.30	$903.36	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $5,103.97	Facility		$55.00	$5,000.00	$5,103.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $2,285.42	Facility		$714.97	$765.00	$2,285.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $302.56 / $607.79 / $769.08	Facility		$302.56	$607.79	$769.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $466.97 / $597.74 / $643.87	Facility		$466.97	$597.74	$643.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.37 / $425.37 / $439.18	Facility		$425.37	$425.37	$439.18
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