Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.53 / $2,972.36 / $20,680.40	Facility		$1,550.53	$2,972.36	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,550.62 / $10,564.72	Facility		$55.00	$1,550.62	$10,564.72
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $158.44 / $521.66 / $521.66	Facility	AS	$158.44	$521.66	$521.66
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 $1,090.89 / $2,319.17 / $2,986.20	Facility		$1,090.89	$2,319.17	$2,986.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,688.40 / $2,184.13 / $2,302.79	Facility		$1,688.40	$2,184.13	$2,302.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,550.62 / $1,550.62 / $1,570.71	Facility		$1,550.62	$1,550.62	$1,570.71
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,254.00 / $4,332.00	Facility		$650.00	$1,254.00	$4,332.00