Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,876.54 / $4,297.24 / $27,982.24	Facility		$1,876.54	$4,297.24	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $15,976.53	Facility		$55.00	$5,000.00	$15,976.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,000.00 / $2,285.42	Facility		$714.97	$2,000.00	$2,285.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,434.56 / $2,899.58 / $3,706.62	Facility		$1,434.56	$2,899.58	$3,706.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,179.77 / $2,958.15 / $3,133.59	Facility		$2,179.77	$2,958.15	$3,133.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,043.03 / $2,043.03 / $2,137.39	Facility		$2,043.03	$2,043.03	$2,137.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00