Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.52 / $926.16 / $20,680.40	Facility		$539.52	$926.16	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $5,180.28	Facility		$55.00	$5,000.00	$5,180.28
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $277.74 / $919.65 / $919.65	Facility	62	$277.74	$919.65	$919.65
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $44.44 / $147.13 / $147.13	Facility	AS	$44.44	$147.13	$147.13
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 $310.10 / $637.30 / $806.90	Facility		$310.10	$637.30	$806.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $472.36 / $610.53 / $652.12	Facility		$472.36	$610.53	$652.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.88 / $434.88 / $442.83	Facility		$434.88	$434.88	$442.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00