Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,755.97 / $5,128.00 / $20,680.40	Facility		$2,755.97	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.00 / $10,160.00 / $18,678.56	Facility		$1,417.00	$10,160.00	$18,678.56
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 $1,937.81 / $4,019.08 / $5,101.82	Facility		$1,937.81	$4,019.08	$5,101.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,923.83 / $3,893.54 / $4,028.71	Facility		$2,923.83	$3,893.54	$4,028.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,707.13 / $2,707.13 / $2,747.94	Facility		$2,707.13	$2,707.13	$2,747.94
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