Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.77 / $2,769.52 / $18,711.00	Facility		$645.77	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $492.19 / $5,756.38	Facility		$55.00	$492.19	$5,756.38
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $309.38 / $1,025.63 / $1,025.63	Facility	62	$309.38	$1,025.63	$1,025.63
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $49.50 / $164.10 / $164.10	Facility	AS	$49.50	$164.10	$164.10
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 $341.00 / $691.90 / $892.65	Facility		$341.00	$691.90	$892.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.13 / $680.36 / $721.59	Facility		$529.13	$680.36	$721.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.73 / $479.73 / $492.19	Facility		$479.73	$479.73	$492.19
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00