Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.04 / $5,116.62 / $22,024.00	Facility		$1,104.04	$5,116.62	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,666.68 / $16,555.08	Facility		$55.00	$1,666.68	$16,555.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,141.44 / $1,761.75 / $2,335.48	Facility		$1,141.44	$1,761.75	$2,335.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,523.04 / $2,290.19 / $2,443.48	Facility		$1,523.04	$2,290.19	$2,443.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,210.42 / $1,210.42 / $1,666.68	Facility		$1,210.42	$1,210.42	$1,666.68
United Facility/Professional Facility Modifier Low / Median / High Price $501.00 / $1,120.00 / $5,793.00	Facility		$501.00	$1,120.00	$5,793.00