Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.43 / $6,950.88 / $24,258.74	Facility		$1,235.43	$6,950.88	$24,258.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $983.92 / $9,164.54 / $9,164.54	Facility		$983.92	$9,164.54	$9,164.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,691.00 / $36,898.00	Facility		$17,132.00	$17,691.00	$36,898.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $696.26 / $1,548.60 / $1,880.74	Facility		$696.26	$1,548.60	$1,880.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,046.52 / $1,375.63 / $1,452.56	Facility		$1,046.52	$1,375.63	$1,452.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $983.92 / $983.92 / $990.78	Facility		$983.92	$983.92	$990.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00