Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.09 / $5,132.00 / $20,680.40	Facility		$1,870.09	$5,132.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $10,160.00 / $12,778.64	Facility		$1,200.00	$10,160.00	$12,778.64
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $192.07 / $631.41 / $631.41	Facility	AS	$192.07	$631.41	$631.41
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 $1,304.17 / $2,699.11 / $3,473.73	Facility		$1,304.17	$2,699.11	$3,473.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,972.74 / $2,651.45 / $2,780.50	Facility		$1,972.74	$2,651.45	$2,780.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,868.63 / $1,868.63 / $1,896.55	Facility		$1,868.63	$1,868.63	$1,896.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00