Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.18 / $2,952.47 / $20,680.40	Facility		$1,466.18	$2,952.47	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,551.53 / $10,601.20	Facility		$55.00	$1,551.53	$10,601.20
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $159.43 / $524.39 / $524.39	Facility	AS	$159.43	$524.39	$524.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,084.38 / $2,202.62 / $2,864.19	Facility		$1,084.38	$2,202.62	$2,864.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,641.01 / $2,199.63 / $2,308.15	Facility		$1,641.01	$2,199.63	$2,308.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,551.53 / $1,551.53 / $1,574.37	Facility		$1,551.53	$1,551.53	$1,574.37
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00