Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.88 / $2,656.59 / $20,680.40	Facility		$1,412.88	$2,656.59	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,437.72 / $9,673.12	Facility		$55.00	$1,437.72	$9,673.12
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $145.44 / $478.82 / $478.82	Facility	AS	$145.44	$478.82	$478.82
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 $975.26 / $2,053.91 / $2,615.08	Facility		$975.26	$2,053.91	$2,615.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,478.33 / $2,007.91 / $2,107.82	Facility		$1,478.33	$2,007.91	$2,107.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.00 / $1,412.00 / $1,437.72	Facility		$1,412.00	$1,412.00	$1,437.72
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