Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.62 / $5,125.00 / $22,024.00	Facility		$1,319.62	$5,125.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,334.44 / $8,984.64	Facility		$55.00	$1,334.44	$8,984.64
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 $916.05 / $1,875.62 / $2,441.30	Facility		$916.05	$1,875.62	$2,441.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,378.86 / $1,868.62 / $1,956.40	Facility		$1,378.86	$1,868.62	$1,956.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.23 / $1,318.23 / $1,334.44	Facility		$1,318.23	$1,318.23	$1,334.44
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