Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.05 / $2,769.52 / $20,680.40	Facility		$1,463.05	$2,769.52	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $13,026.72	Facility		$55.00	$5,000.00	$13,026.72
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $699.35 / $2,323.71 / $2,323.71	Facility	62	$699.35	$2,323.71	$2,323.71
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $111.90 / $371.79 / $371.79	Facility	AS	$111.90	$371.79	$371.79
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 $790.92 / $1,549.77 / $1,962.90	Facility		$790.92	$1,549.77	$1,962.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,170.60 / $1,536.50 / $1,636.81	Facility		$1,170.60	$1,536.50	$1,636.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,089.92 / $1,089.92 / $1,116.45	Facility		$1,089.92	$1,089.92	$1,116.45
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00