Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.48 / $2,769.52 / $18,711.00	Facility		$327.48	$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 $25.04 / $83.11 / $83.11	Facility	AS	$25.04	$83.11	$83.11
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 $184.86 / $349.94 / $452.76	Facility		$184.86	$349.94	$452.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.60 / $343.91 / $367.83	Facility		$262.60	$343.91	$367.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.98 / $245.98 / $250.89	Facility		$245.98	$245.98	$250.89
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