Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.31 / $1,808.28 / $20,680.40	Facility		$867.31	$1,808.28	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $948.73 / $6,396.88	Facility		$55.00	$948.73	$6,396.88
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 $880.44 / $1,163.80 / $1,737.29	Facility		$880.44	$1,163.80	$1,737.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $996.66 / $1,328.64 / $1,400.12	Facility		$996.66	$1,328.64	$1,400.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.71 / $937.71 / $948.73	Facility		$937.71	$937.71	$948.73
United Facility/Professional Facility Modifier Low / Median / High Price $501.00 / $1,120.00 / $5,793.00	Facility		$501.00	$1,120.00	$5,793.00