Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.55 / $672.29 / $17,100.00	Facility		$142.55	$672.29	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $490.15 / $853.45	Facility		$55.00	$490.15	$853.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $101.27 / $210.74 / $509.36	Facility		$101.27	$210.74	$509.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.41 / $548.71 / $694.12	Facility		$151.41	$548.71	$694.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.45 / $473.45 / $490.15	Facility		$473.45	$473.45	$490.15
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00