Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $5,128.00 / $24,827.00	Facility		$1,560.00	$5,128.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,474.52 / $10,063.84	Facility		$55.00	$1,474.52	$10,063.84
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $151.36 / $497.90 / $497.90	Facility	AS	$151.36	$497.90	$497.90
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 $1,030.75 / $2,121.87 / $2,732.85	Facility		$1,030.75	$2,121.87	$2,732.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,550.21 / $2,088.52 / $2,191.57	Facility		$1,550.21	$2,088.52	$2,191.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,474.52 / $1,474.52 / $1,494.85	Facility		$1,474.52	$1,474.52	$1,494.85
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