Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $2,152.07 / $3,138.89	Facility		$1,380.00	$2,152.07	$3,138.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,572.99 / $10,438.08	Facility		$55.00	$1,572.99	$10,438.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $20,685.00 / $49,858.00	Facility		$765.00	$20,685.00	$49,858.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,002.85 / $1,754.07 / $2,731.83	Facility		$1,002.85	$1,754.07	$2,731.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,522.92 / $2,154.16 / $2,306.14	Facility		$1,522.92	$2,154.16	$2,306.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,514.83 / $1,514.83 / $1,572.99	Facility		$1,514.83	$1,514.83	$1,572.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00