Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,237.80 / $4,704.99 / $20,680.40	Facility		$2,237.80	$4,704.99	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $940.00 / $2,800.00 / $15,231.52	Facility		$940.00	$2,800.00	$15,231.52
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $228.81 / $750.25 / $750.25	Facility	AS	$228.81	$750.25	$750.25
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 $1,567.67 / $3,262.75 / $4,141.72	Facility		$1,567.67	$3,262.75	$4,141.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,378.46 / $3,159.55 / $3,307.79	Facility		$2,378.46	$3,159.55	$3,307.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,230.12 / $2,230.12 / $2,256.21	Facility		$2,230.12	$2,230.12	$2,256.21
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