Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.00 / $2,787.89 / $18,711.00	Facility		$1,710.00	$2,787.89	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $15,715.42	Facility		$55.00	$5,000.00	$15,715.42
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $135.35 / $448.09 / $448.09	Facility	AS	$135.35	$448.09	$448.09
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 $934.65 / $1,868.52 / $2,375.82	Facility		$934.65	$1,868.52	$2,375.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,397.78 / $1,861.45 / $1,966.45	Facility		$1,397.78	$1,861.45	$1,966.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.61 / $1,314.61 / $1,341.30	Facility		$1,314.61	$1,314.61	$1,341.30
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00