Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.41 / $482.00 / $703.02	Facility		$301.41	$482.00	$703.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $346.41 / $1,150.48	Facility		$55.00	$346.41	$1,150.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $20,685.00 / $49,858.00	Facility		$765.00	$20,685.00	$49,858.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $237.12 / $472.88 / $611.48	Facility		$237.12	$472.88	$611.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $468.13 / $507.86	Facility		$361.62	$468.13	$507.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.03 / $337.03 / $346.41	Facility		$337.03	$337.03	$346.41
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00