Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.86 / $2,769.52 / $18,711.00	Facility		$1,366.86	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,500.00 / $12,164.88	Facility		$55.00	$5,500.00	$12,164.88
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $652.83 / $2,168.54 / $2,168.54	Facility	62	$652.83	$2,168.54	$2,168.54
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $104.45 / $346.97 / $346.97	Facility	AS	$104.45	$346.97	$346.97
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 $721.68 / $1,455.49 / $1,888.13	Facility		$721.68	$1,455.49	$1,888.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,095.64 / $1,434.46 / $1,528.27	Facility		$1,095.64	$1,434.46	$1,528.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,019.25 / $1,019.25 / $1,042.42	Facility		$1,019.25	$1,019.25	$1,042.42
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00