Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.08 / $2,769.52 / $18,711.00	Facility		$300.08	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $2,000.00	Facility		$55.00	$1,300.00	$2,000.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $22.96 / $75.98 / $75.98	Facility	AS	$22.96	$75.98	$75.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $318.98 / $413.80	Facility		$158.72	$318.98	$413.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.61 / $315.86 / $333.66	Facility		$239.61	$315.86	$333.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.88 / $222.88 / $227.59	Facility		$222.88	$222.88	$227.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00