Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,728.74 / $5,128.00 / $20,680.40	Facility		$2,728.74	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,741.56 / $18,705.75	Facility		$55.00	$2,741.56	$18,705.75
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $281.50 / $927.06 / $927.06	Facility	AS	$281.50	$927.06	$927.06
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 $1,907.43 / $3,836.00 / $5,080.68	Facility		$1,907.43	$3,836.00	$5,080.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,891.49 / $3,878.20 / $4,080.30	Facility		$2,891.49	$3,878.20	$4,080.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,741.56 / $2,741.56 / $2,783.13	Facility		$2,741.56	$2,741.56	$2,783.13
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