Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.63 / $5,116.62 / $18,711.00	Facility		$1,533.63	$5,116.62	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $2,800.00 / $9,179.37	Facility		$810.00	$2,800.00	$9,179.37
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $157.46 / $513.03 / $513.03	Facility	AS	$157.46	$513.03	$513.03
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 $1,080.97 / $2,240.19 / $2,849.53	Facility		$1,080.97	$2,240.19	$2,849.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,635.13 / $2,182.85 / $2,262.59	Facility		$1,635.13	$2,182.85	$2,262.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,514.38 / $1,514.38 / $1,543.29	Facility		$1,514.38	$1,514.38	$1,543.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00