Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,365.66 / $4,894.34 / $22,024.00	Facility		$2,365.66	$4,894.34	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $31,385.48	Facility		$55.00	$5,000.00	$31,385.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,807.30 / $3,611.32 / $4,638.96	Facility		$1,807.30	$3,611.32	$4,638.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,730.77 / $3,683.06 / $3,939.60	Facility		$2,730.77	$3,683.06	$3,939.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,589.80 / $2,589.80 / $2,687.16	Facility		$2,589.80	$2,589.80	$2,687.16
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00