Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.16 / $2,769.52 / $17,930.00	Facility		$622.16	$2,769.52	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $8,074.08	Facility		$55.00	$5,000.00	$8,074.08
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $69.51 / $230.56 / $230.56	Facility	AS	$69.51	$230.56	$230.56
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 $487.04 / $1,001.01 / $1,339.21	Facility		$487.04	$1,001.01	$1,339.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $708.82 / $955.17 / $1,012.37	Facility		$708.82	$955.17	$1,012.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.33 / $676.33 / $690.53	Facility		$676.33	$676.33	$690.53
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $6,216.00	Facility		$157.00	$648.00	$6,216.00