Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,851.49 / $5,128.00 / $20,680.40	Facility		$2,851.49	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,820.38 / $19,310.88	Facility		$55.00	$2,820.38	$19,310.88
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $289.76 / $950.53 / $950.53	Facility	AS	$289.76	$950.53	$950.53
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 $2,002.91 / $4,061.46 / $5,250.47	Facility		$2,002.91	$4,061.46	$5,250.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,012.03 / $4,004.42 / $4,192.18	Facility		$3,012.03	$4,004.42	$4,192.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,820.38 / $2,820.38 / $2,859.45	Facility		$2,820.38	$2,820.38	$2,859.45
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