Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,103.90 / $5,398.98 / $20,680.40	Facility		$3,103.90	$5,398.98	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,008.43 / $20,541.20	Facility		$55.00	$3,008.43	$20,541.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,134.96 / $4,429.22 / $5,645.34	Facility		$2,134.96	$4,429.22	$5,645.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,229.10 / $4,269.41 / $4,410.60	Facility		$3,229.10	$4,269.41	$4,410.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,967.15 / $2,967.15 / $3,008.43	Facility		$2,967.15	$2,967.15	$3,008.43
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00