Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,146.89 / $6,481.82 / $22,024.00	Facility		$3,146.89	$6,481.82	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $32,571.22	Facility		$55.00	$5,000.00	$32,571.22
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 $2,450.23 / $4,900.60 / $6,228.35	Facility		$2,450.23	$4,900.60	$6,228.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,712.73 / $4,896.54 / $5,240.07	Facility		$3,712.73	$4,896.54	$5,240.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,468.62 / $3,468.62 / $3,574.20	Facility		$3,468.62	$3,468.62	$3,574.20
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