Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,880.20 / $6,503.19 / $18,800.00	Facility		$2,880.20	$6,503.19	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $2,000.00 / $10,546.76	Facility		$759.83	$2,000.00	$10,546.76
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,976.64 / $6,434.68 / $6,434.68	Facility	62	$1,976.64	$6,434.68	$6,434.68
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $316.26 / $1,029.55 / $1,029.55	Facility	AS	$316.26	$1,029.55	$1,029.55
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 $2,818.80 / $3,815.28 / $5,765.83	Facility		$2,818.80	$3,815.28	$5,765.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,244.78 / $4,394.89 / $4,540.59	Facility		$3,244.78	$4,394.89	$4,540.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $3,042.80 / $3,097.09	Facility		$759.83	$3,042.80	$3,097.09
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