Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,776.92 / $3,367.27 / $20,680.40	Facility		$1,776.92	$3,367.27	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,801.49 / $12,136.96	Facility		$55.00	$1,801.49	$12,136.96
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $182.68 / $600.67 / $600.67	Facility	AS	$182.68	$600.67	$600.67
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 $1,236.58 / $2,477.92 / $3,295.37	Facility		$1,236.58	$2,477.92	$3,295.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,849.75 / $2,522.12 / $2,641.14	Facility		$1,849.75	$2,522.12	$2,641.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,773.95 / $1,773.95 / $1,801.49	Facility		$1,773.95	$1,773.95	$1,801.49
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