Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,799.07 / $3,455.62 / $20,680.40	Facility		$1,799.07	$3,455.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,828.91 / $12,380.64	Facility		$55.00	$1,828.91	$12,380.64
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 $1,259.53 / $2,680.49 / $3,344.25	Facility		$1,259.53	$2,680.49	$3,344.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,888.46 / $2,572.81 / $2,681.34	Facility		$1,888.46	$2,572.81	$2,681.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,780.74 / $1,780.74 / $1,828.91	Facility		$1,780.74	$1,780.74	$1,828.91
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