Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,328.69 / $2,508.98 / $20,680.40	Facility		$1,328.69	$2,508.98	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,341.75 / $9,032.71	Facility		$55.00	$1,341.75	$9,032.71
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 $921.01 / $1,894.81 / $2,457.59	Facility		$921.01	$1,894.81	$2,457.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,392.58 / $1,869.62 / $1,967.12	Facility		$1,392.58	$1,869.62	$1,967.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,323.67 / $1,323.67 / $1,341.75	Facility		$1,323.67	$1,323.67	$1,341.75
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