Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,156.45 / $5,474.70 / $20,680.40	Facility		$3,156.45	$5,474.70	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,146.54 / $37,624.58	Facility		$55.00	$3,146.54	$37,624.58
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,017.73 / $6,641.86 / $6,641.86	Facility	62	$2,017.73	$6,641.86	$6,641.86
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $322.83 / $1,062.70 / $1,062.70	Facility	AS	$322.83	$1,062.70	$1,062.70
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 $2,191.08 / $4,515.57 / $5,845.57	Facility		$2,191.08	$4,515.57	$5,845.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,303.58 / $4,454.68 / $4,683.97	Facility		$3,303.58	$4,454.68	$4,683.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,146.54 / $3,146.54 / $3,194.89	Facility		$3,146.54	$3,146.54	$3,194.89
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