Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.77 / $1,955.40 / $20,680.40	Facility		$1,054.77	$1,955.40	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,070.29 / $7,221.44	Facility		$55.00	$1,070.29	$7,221.44
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 $722.61 / $1,470.28 / $1,930.05	Facility		$722.61	$1,470.28	$1,930.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,083.30 / $1,484.05 / $1,569.14	Facility		$1,083.30	$1,484.05	$1,569.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.45 / $1,041.45 / $1,070.29	Facility		$1,041.45	$1,041.45	$1,070.29
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