Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,662.77 / $3,199.64 / $20,680.40	Facility		$1,662.77	$3,199.64	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,662.96 / $18,328.96	Facility		$55.00	$1,662.96	$18,328.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,170.25 / $2,496.35 / $3,271.41	Facility		$1,170.25	$2,496.35	$3,271.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,845.18 / $2,330.17 / $2,460.23	Facility		$1,845.18	$2,330.17	$2,460.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,662.96 / $1,662.96 / $1,678.10	Facility		$1,662.96	$1,662.96	$1,678.10
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