Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.83 / $4,500.00 / $20,680.40	Facility		$1,664.83	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,800.00 / $11,212.80	Facility		$1,100.00	$2,800.00	$11,212.80
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $167.98 / $550.88 / $550.88	Facility	AS	$167.98	$550.88	$550.88
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 $1,163.43 / $2,356.12 / $3,056.13	Facility		$1,163.43	$2,356.12	$3,056.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,741.95 / $2,326.78 / $2,430.76	Facility		$1,741.95	$2,326.78	$2,430.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.69 / $1,636.69 / $1,658.00	Facility		$1,636.69	$1,636.69	$1,658.00
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