Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.48 / $2,351.15 / $17,930.00	Facility		$929.48	$2,351.15	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,500.00 / $12,069.26	Facility		$55.00	$5,500.00	$12,069.26
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $646.16 / $2,142.04 / $2,142.04	Facility	62	$646.16	$2,142.04	$2,142.04
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $103.39 / $342.73 / $342.73	Facility	AS	$103.39	$342.73	$342.73
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 $718.89 / $1,454.17 / $1,877.92	Facility		$718.89	$1,454.17	$1,877.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,092.21 / $1,420.98 / $1,517.08	Facility		$1,092.21	$1,420.98	$1,517.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,013.81 / $1,013.81 / $1,032.82	Facility		$1,013.81	$1,013.81	$1,032.82
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00