Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.29 / $2,769.52 / $18,711.00	Facility		$645.29	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $5,747.42	Facility		$55.00	$5,000.00	$5,747.42
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $308.47 / $1,020.88 / $1,020.88	Facility	62	$308.47	$1,020.88	$1,020.88
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $49.36 / $163.34 / $163.34	Facility	AS	$49.36	$163.34	$163.34
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 $353.06 / $683.45 / $866.01	Facility		$353.06	$683.45	$866.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $514.99 / $678.90 / $720.80	Facility		$514.99	$678.90	$720.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.18 / $480.18 / $490.82	Facility		$480.18	$480.18	$490.82
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00