Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.32 / $5,128.00 / $22,024.00	Facility		$1,950.32	$5,128.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,982.47 / $13,347.28	Facility		$55.00	$1,982.47	$13,347.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,353.77 / $2,827.03 / $3,621.22	Facility		$1,353.77	$2,827.03	$3,621.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,049.17 / $2,766.89 / $2,906.46	Facility		$2,049.17	$2,766.89	$2,906.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,951.52 / $1,951.52 / $1,982.47	Facility		$1,951.52	$1,951.52	$1,982.47
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