Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.19 / $4,562.30 / $22,024.00	Facility		$2,394.19	$4,562.30	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,222.00 / $10,160.00 / $16,328.64	Facility		$1,222.00	$10,160.00	$16,328.64
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $244.82 / $799.14 / $799.14	Facility	AS	$244.82	$799.14	$799.14
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 $1,686.09 / $3,490.61 / $4,440.99	Facility		$1,686.09	$3,490.61	$4,440.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,549.96 / $3,391.31 / $3,528.22	Facility		$2,549.96	$3,391.31	$3,528.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,366.02 / $2,366.02 / $2,406.56	Facility		$2,366.02	$2,366.02	$2,406.56
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