Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,175.12 / $4,153.75 / $20,680.40	Facility		$2,175.12	$4,153.75	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,205.94 / $14,864.64	Facility		$55.00	$2,205.94	$14,864.64
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 $1,523.03 / $3,067.68 / $4,037.96	Facility		$1,523.03	$3,067.68	$4,037.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,286.34 / $3,082.60 / $3,234.09	Facility		$2,286.34	$3,082.60	$3,234.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,172.59 / $2,172.59 / $2,205.94	Facility		$2,172.59	$2,172.59	$2,205.94
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