Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,828.59 / $6,470.00 / $20,680.40	Facility		$3,828.59	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,826.94 / $29,190.69	Facility		$55.00	$3,826.94	$29,190.69
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 $2,670.65 / $5,526.14 / $7,066.65	Facility		$2,670.65	$5,526.14	$7,066.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,054.26 / $5,395.59 / $5,636.04	Facility		$4,054.26	$5,395.59	$5,636.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,826.94 / $3,826.94 / $3,844.28	Facility		$3,826.94	$3,826.94	$3,844.28
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