Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.04 / $2,619.16 / $22,024.00	Facility		$1,366.04	$2,619.16	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,379.23 / $9,334.71	Facility		$55.00	$1,379.23	$9,334.71
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $140.16 / $458.54 / $458.54	Facility	AS	$140.16	$458.54	$458.54
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 $960.07 / $1,977.16 / $2,534.77	Facility		$960.07	$1,977.16	$2,534.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.01 / $1,938.86 / $2,022.06	Facility		$1,445.01	$1,938.86	$2,022.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,355.83 / $1,355.83 / $1,379.23	Facility		$1,355.83	$1,355.83	$1,379.23
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