Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.27 / $2,769.52 / $18,711.00	Facility		$644.27	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $488.99 / $2,606.94	Facility		$55.00	$488.99	$2,606.94
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $49.46 / $163.65 / $163.65	Facility	AS	$49.46	$163.65	$163.65
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 $342.86 / $688.05 / $871.52	Facility		$342.86	$688.05	$871.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $518.41 / $680.26 / $716.90	Facility		$518.41	$680.26	$716.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.09 / $481.09 / $488.99	Facility		$481.09	$481.09	$488.99
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00