Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,663.69 / $5,625.78 / $20,680.40	Facility		$2,663.69	$5,625.78	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $2,800.00 / $18,054.56	Facility		$1,386.00	$2,800.00	$18,054.56
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $270.44 / $882.55 / $882.55	Facility	AS	$270.44	$882.55	$882.55
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 $1,873.95 / $3,881.57 / $4,914.33	Facility		$1,873.95	$3,881.57	$4,914.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,824.36 / $3,747.70 / $3,899.40	Facility		$2,824.36	$3,747.70	$3,899.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,613.36 / $2,613.36 / $2,659.74	Facility		$2,613.36	$2,613.36	$2,659.74
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