Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.86 / $5,128.00 / $22,024.00	Facility		$1,528.86	$5,128.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $712.00 / $8,558.00 / $10,417.04	Facility		$712.00	$8,558.00	$10,417.04
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.61 / $515.76 / $515.76	Facility	AS	$156.61	$515.76	$515.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,058.65 / $2,038.81 / $2,833.18	Facility		$1,058.65	$2,038.81	$2,833.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,576.08 / $2,143.33 / $2,269.29	Facility		$1,576.08	$2,143.33	$2,269.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,526.61 / $1,526.61 / $1,547.86	Facility		$1,526.61	$1,526.61	$1,547.86
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