Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.76 / $1,997.62 / $20,680.40	Facility		$957.76	$1,997.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,048.82 / $4,405.14	Facility		$55.00	$1,048.82	$4,405.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $1,110.00 / $1,110.00	Facility		$1,110.00	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $973.53 / $1,286.84 / $1,914.79	Facility		$973.53	$1,286.84	$1,914.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,098.35 / $1,456.43 / $1,553.12	Facility		$1,098.35	$1,456.43	$1,553.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.18 / $1,039.18 / $1,048.82	Facility		$1,039.18	$1,039.18	$1,048.82
United Facility/Professional Facility Modifier Low / Median / High Price $501.00 / $1,323.00 / $5,793.00	Facility		$501.00	$1,323.00	$5,793.00