Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.48 / $2,769.52 / $18,711.00	Facility		$1,051.48	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $805.69 / $3,698.21	Facility		$55.00	$805.69	$3,698.21
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 $559.86 / $1,120.06 / $1,423.12	Facility		$559.86	$1,120.06	$1,423.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $833.00 / $1,107.89 / $1,181.21	Facility		$833.00	$1,107.89	$1,181.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $788.22 / $788.22 / $805.69	Facility		$788.22	$788.22	$805.69
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00