Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.33 / $2,769.52 / $18,711.00	Facility		$650.33	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $494.02 / $2,606.94	Facility		$55.00	$494.02	$2,606.94
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $311.30 / $1,031.29 / $1,031.29	Facility	62	$311.30	$1,031.29	$1,031.29
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $49.81 / $165.01 / $165.01	Facility	AS	$49.81	$165.01	$165.01
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 $343.79 / $689.37 / $873.89	Facility		$343.79	$689.37	$873.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $519.40 / $684.83 / $724.27	Facility		$519.40	$684.83	$724.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.71 / $484.71 / $494.02	Facility		$484.71	$484.71	$494.02
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00