Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,739.89 / $6,361.23 / $22,024.00	Facility		$4,739.89	$6,361.23	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $4,738.38 / $64,529.44	Facility		$2,800.00	$4,738.38	$64,529.44
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,025.76 / $9,961.85 / $9,961.85	Facility	62	$3,025.76	$9,961.85	$9,961.85
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $484.12 / $1,593.90 / $1,593.90	Facility	AS	$484.12	$1,593.90	$1,593.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,866.43 / $7,187.73 / $9,190.66	Facility		$3,866.43	$7,187.73	$9,190.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,994.60 / $6,659.48 / $7,041.70	Facility		$4,994.60	$6,659.48	$7,041.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,738.38 / $4,738.38 / $4,803.07	Facility		$4,738.38	$4,738.38	$4,803.07
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