Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,808.86 / $5,128.00 / $20,680.40	Facility		$2,808.86	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,815.58 / $19,045.59	Facility		$55.00	$2,815.58	$19,045.59
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 $1,970.67 / $3,989.50 / $5,176.72	Facility		$1,970.67	$3,989.50	$5,176.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,940.49 / $3,952.27 / $4,127.87	Facility		$2,940.49	$3,952.27	$4,127.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,775.08 / $2,775.08 / $2,815.58	Facility		$2,775.08	$2,775.08	$2,815.58
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