Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,816.28 / $3,433.83 / $20,680.40	Facility		$1,816.28	$3,433.83	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,815.62 / $12,417.92	Facility		$55.00	$1,815.62	$12,417.92
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $186.70 / $614.61 / $614.61	Facility	AS	$186.70	$614.61	$614.61
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 $1,263.25 / $2,531.87 / $3,369.11	Facility		$1,263.25	$2,531.87	$3,369.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,888.95 / $2,576.17 / $2,705.46	Facility		$1,888.95	$2,576.17	$2,705.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,815.62 / $1,815.62 / $1,845.37	Facility		$1,815.62	$1,815.62	$1,845.37
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