Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,322.99 / $6,217.80 / $20,680.40	Facility		$4,322.99	$6,217.80	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,337.93 / $59,160.16	Facility		$55.00	$4,337.93	$59,160.16
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,777.96 / $9,144.40 / $9,144.40	Facility	62	$2,777.96	$9,144.40	$9,144.40
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 $2,955.28 / $5,393.85 / $7,727.91	Facility		$2,955.28	$5,393.85	$7,727.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,629.43 / $5,458.32 / $6,454.11	Facility		$3,629.43	$5,458.32	$6,454.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,337.93 / $4,337.93 / $4,402.28	Facility		$4,337.93	$4,337.93	$4,402.28
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