Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,878.83 / $3,813.33 / $20,680.40	Facility		$1,878.83	$3,813.33	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,545.36 / $12,839.36	Facility		$55.00	$2,545.36	$12,839.36
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 $1,318.12 / $2,743.88 / $3,485.73	Facility		$1,318.12	$2,743.88	$3,485.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,994.30 / $2,662.89 / $2,790.55	Facility		$1,994.30	$2,662.89	$2,790.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,874.86 / $1,903.41 / $2,776.76	Facility		$1,874.86	$1,903.41	$2,776.76
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