Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.51 / $3,600.90 / $20,680.40	Facility		$1,500.51	$3,600.90	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $758.00 / $2,800.00 / $10,098.16	Facility		$758.00	$2,800.00	$10,098.16
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $151.28 / $494.71 / $494.71	Facility	AS	$151.28	$494.71	$494.71
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 $1,049.66 / $2,129.06 / $2,761.05	Facility		$1,049.66	$2,129.06	$2,761.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,570.45 / $2,098.69 / $2,182.86	Facility		$1,570.45	$2,098.69	$2,182.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,468.17 / $1,468.17 / $1,488.91	Facility		$1,468.17	$1,468.17	$1,488.91
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,254.00 / $4,332.00	Facility		$650.00	$1,254.00	$4,332.00