Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.51 / $4,497.00 / $20,680.40	Facility		$383.51	$4,497.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $288.11 / $881.06	Facility		$55.00	$288.11	$881.06
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 $231.00 / $405.20 / $543.25	Facility		$231.00	$405.20	$543.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.66 / $378.14 / $391.95	Facility		$255.66	$378.14	$391.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.35 / $267.35 / $288.11	Facility		$267.35	$267.35	$288.11
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00