Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.85 / $3,085.93 / $20,680.40	Facility		$1,625.85	$3,085.93	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,615.85 / $11,091.04	Facility		$55.00	$1,615.85	$11,091.04
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $166.66 / $546.94 / $546.94	Facility	AS	$166.66	$546.94	$546.94
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 $1,133.98 / $2,315.35 / $3,009.82	Facility		$1,133.98	$2,315.35	$3,009.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,707.16 / $2,304.38 / $2,408.65	Facility		$1,707.16	$2,304.38	$2,408.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.85 / $1,615.85 / $1,642.92	Facility		$1,615.85	$1,615.85	$1,642.92
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