Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.41 / $2,252.71 / $20,680.40	Facility		$1,211.41	$2,252.71	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,204.65 / $8,133.04	Facility		$55.00	$1,204.65	$8,133.04
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 $831.73 / $1,655.02 / $2,215.33	Facility		$831.73	$1,655.02	$2,215.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,228.69 / $1,696.57 / $1,766.12	Facility		$1,228.69	$1,696.57	$1,766.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.59 / $1,184.59 / $1,204.65	Facility		$1,184.59	$1,184.59	$1,204.65
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