Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.63 / $2,769.52 / $18,711.00	Facility		$505.63	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $2,000.00	Facility		$55.00	$2,000.00	$2,000.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $38.57 / $128.52 / $128.52	Facility	AS	$38.57	$128.52	$128.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $266.29 / $534.79 / $676.89	Facility		$266.29	$534.79	$676.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $405.23 / $528.87 / $564.14	Facility		$405.23	$528.87	$564.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.08 / $375.08 / $384.79	Facility		$375.08	$375.08	$384.79
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00