Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.65 / $2,769.52 / $18,711.00	Facility		$596.65	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $5,313.28	Facility		$55.00	$5,000.00	$5,313.28
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $45.83 / $152.44 / $152.44	Facility	AS	$45.83	$152.44	$152.44
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 / $828.55	Facility		$328.30	$616.91	$828.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $479.17 / $629.04 / $667.32	Facility		$479.17	$629.04	$667.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.85 / $444.85 / $455.17	Facility		$444.85	$444.85	$455.17
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $6,216.00	Facility		$157.00	$648.00	$6,216.00