Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,599.73 / $4,921.10 / $20,680.40	Facility		$2,599.73	$4,921.10	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,950.00 / $17,749.91	Facility		$55.00	$1,950.00	$17,749.91
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 $1,825.59 / $3,664.60 / $4,815.72	Facility		$1,825.59	$3,664.60	$4,815.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,740.08 / $3,687.13 / $3,861.88	Facility		$2,740.08	$3,687.13	$3,861.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,595.23 / $2,595.23 / $2,634.15	Facility		$2,595.23	$2,595.23	$2,634.15
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