Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.23 / $2,168.04 / $20,680.40	Facility		$1,166.23	$2,168.04	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,150.17 / $7,886.80	Facility		$55.00	$1,150.17	$7,886.80
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $118.17 / $388.90 / $388.90	Facility	AS	$118.17	$388.90	$388.90
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 $800.11 / $1,602.99 / $2,132.57	Facility		$800.11	$1,602.99	$2,132.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,183.15 / $1,636.14 / $1,714.53	Facility		$1,183.15	$1,636.14	$1,714.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,150.17 / $1,150.17 / $1,169.46	Facility		$1,150.17	$1,150.17	$1,169.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00