Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,894.53 / $6,522.30 / $18,800.00	Facility		$2,894.53	$6,522.30	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,313.10 / $2,000.00 / $13,130.70	Facility		$1,313.10	$2,000.00	$13,130.70
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,968.88 / $6,409.11 / $6,409.11	Facility	62	$1,968.88	$6,409.11	$6,409.11
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 $2,847.51 / $3,810.80 / $5,746.10	Facility		$2,847.51	$3,810.80	$5,746.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,352.25 / $4,378.20 / $4,521.83	Facility		$3,352.25	$4,378.20	$4,521.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.10 / $3,038.72 / $3,084.29	Facility		$1,313.10	$3,038.72	$3,084.29
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