Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.47 / $2,684.24 / $20,680.40	Facility		$1,404.47	$2,684.24	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,397.96 / $9,601.60	Facility		$55.00	$1,397.96	$9,601.60
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $144.33 / $473.22 / $473.22	Facility	AS	$144.33	$473.22	$473.22
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 $985.49 / $2,029.93 / $2,608.51	Facility		$985.49	$2,029.93	$2,608.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,482.25 / $1,995.19 / $2,083.69	Facility		$1,482.25	$1,995.19	$2,083.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,397.96 / $1,397.96 / $1,421.27	Facility		$1,397.96	$1,397.96	$1,421.27
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