Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.68 / $2,627.58 / $20,680.40	Facility		$1,350.68	$2,627.58	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,367.34 / $8,121.05	Facility		$55.00	$1,367.34	$8,121.05
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $139.01 / $453.09 / $453.09	Facility	AS	$139.01	$453.09	$453.09
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 $955.73 / $1,999.54 / $2,509.04	Facility		$955.73	$1,999.54	$2,509.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,448.93 / $1,925.38 / $2,004.64	Facility		$1,448.93	$1,925.38	$2,004.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,336.35 / $1,336.35 / $1,367.34	Facility		$1,336.35	$1,336.35	$1,367.34
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