Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.00 / $5,125.00 / $22,024.00	Facility		$1,296.00	$5,125.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,285.08 / $8,652.00	Facility		$55.00	$1,285.08	$8,652.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $130.08 / $428.11 / $428.11	Facility	AS	$130.08	$428.11	$428.11
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 $880.09 / $1,807.66 / $2,349.55	Facility		$880.09	$1,807.66	$2,349.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,330.35 / $1,795.92 / $1,884.04	Facility		$1,330.35	$1,795.92	$1,884.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,264.78 / $1,264.78 / $1,285.08	Facility		$1,264.78	$1,264.78	$1,285.08
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