Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.79 / $2,711.63 / $20,680.40	Facility		$1,423.79	$2,711.63	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,440.92 / $9,711.68	Facility		$55.00	$1,440.92	$9,711.68
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $145.94 / $479.42 / $479.42	Facility	AS	$145.94	$479.42	$479.42
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 $995.41 / $2,058.71 / $2,638.52	Facility		$995.41	$2,058.71	$2,638.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,503.32 / $2,013.62 / $2,112.51	Facility		$1,503.32	$2,013.62	$2,112.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,418.80 / $1,418.80 / $1,440.92	Facility		$1,418.80	$1,418.80	$1,440.92
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