Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.19 / $2,769.52 / $18,711.00	Facility		$600.19	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,335.59 / $5,000.00	Facility		$55.00	$1,335.59	$5,000.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $45.87 / $152.59 / $152.59	Facility	AS	$45.87	$152.59	$152.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $328.30 / $616.91 / $830.06	Facility		$328.30	$616.91	$830.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $479.17 / $629.47 / $672.01	Facility		$479.17	$629.47	$672.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.56 / $447.56 / $458.37	Facility		$447.56	$447.56	$458.37
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $6,216.00	Facility		$157.00	$648.00	$6,216.00