Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,655.02 / $3,129.88 / $20,680.40	Facility		$1,655.02	$3,129.88	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,685.87 / $11,348.32	Facility		$55.00	$1,685.87	$11,348.32
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 $1,152.89 / $2,357.71 / $3,078.42	Facility		$1,152.89	$2,357.71	$3,078.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,732.15 / $2,353.39 / $2,471.63	Facility		$1,732.15	$2,353.39	$2,471.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,649.37 / $1,649.37 / $1,685.87	Facility		$1,649.37	$1,649.37	$1,685.87
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