Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,143.19 / $4,111.33 / $20,680.40	Facility		$2,143.19	$4,111.33	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,143.14 / $14,610.80	Facility		$55.00	$2,143.14	$14,610.80
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $219.55 / $720.28 / $720.28	Facility	AS	$219.55	$720.28	$720.28
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 $1,506.29 / $3,145.23 / $3,974.51	Facility		$1,506.29	$3,145.23	$3,974.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,280.94 / $3,028.99 / $3,175.80	Facility		$2,280.94	$3,028.99	$3,175.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.14 / $2,143.14 / $2,166.17	Facility		$2,143.14	$2,143.14	$2,166.17
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