Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.21 / $4,853.78 / $20,680.40	Facility		$2,583.21	$4,853.78	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,633.23 / $17,700.96	Facility		$55.00	$2,633.23	$17,700.96
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 $1,803.58 / $3,651.31 / $4,801.14	Facility		$1,803.58	$3,651.31	$4,801.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,717.05 / $3,669.64 / $3,860.54	Facility		$2,717.05	$3,669.64	$3,860.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,592.07 / $2,592.07 / $2,633.23	Facility		$2,592.07	$2,592.07	$2,633.23
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