Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,111.21 / $4,000.97 / $20,680.40	Facility		$2,111.21	$4,000.97	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,109.62 / $16,251.21	Facility		$55.00	$2,109.62	$16,251.21
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $217.09 / $714.67 / $714.67	Facility	AS	$217.09	$714.67	$714.67
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 $1,470.33 / $3,019.71 / $3,923.92	Facility		$1,470.33	$3,019.71	$3,923.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,221.66 / $2,995.02 / $3,147.66	Facility		$2,221.66	$2,995.02	$3,147.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,109.62 / $2,109.62 / $2,146.98	Facility		$2,109.62	$2,109.62	$2,146.98
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