Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,799.22 / $3,404.77 / $20,680.40	Facility		$1,799.22	$3,404.77	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,219.00 / $10,160.00 / $12,283.84	Facility		$1,219.00	$10,160.00	$12,283.84
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $184.64 / $604.77 / $604.77	Facility	AS	$184.64	$604.77	$604.77
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 $1,261.08 / $2,631.15 / $3,339.10	Facility		$1,261.08	$2,631.15	$3,339.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,908.06 / $2,551.77 / $2,663.92	Facility		$1,908.06	$2,551.77	$2,663.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,791.62 / $1,791.62 / $1,817.03	Facility		$1,791.62	$1,791.62	$1,817.03
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