Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,894.95 / $6,590.79 / $18,800.00	Facility		$2,894.95	$6,590.79	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,313.10 / $2,000.00 / $15,913.20	Facility		$1,313.10	$2,000.00	$15,913.20
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,987.81 / $6,477.24 / $6,477.24	Facility	62	$1,987.81	$6,477.24	$6,477.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $1,110.00 / $1,110.00	Facility		$1,110.00	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,867.08 / $3,861.76 / $5,797.55	Facility		$2,867.08	$3,861.76	$5,797.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,284.47 / $4,419.37 / $4,570.74	Facility		$3,284.47	$4,419.37	$4,570.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.10 / $3,060.02 / $3,117.65	Facility		$1,313.10	$3,060.02	$3,117.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00