Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,079.05 / $3,988.94 / $20,680.40	Facility		$2,079.05	$3,988.94	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,098.54 / $14,181.04	Facility		$55.00	$2,098.54	$14,181.04
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $213.76 / $699.99 / $699.99	Facility	AS	$213.76	$699.99	$699.99
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 $1,459.79 / $3,100.46 / $3,857.03	Facility		$1,459.79	$3,100.46	$3,857.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,205.00 / $2,951.21 / $3,076.64	Facility		$2,205.00	$2,951.21	$3,076.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,072.02 / $2,072.02 / $2,098.54	Facility		$2,072.02	$2,072.02	$2,098.54
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