Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,201.47 / $6,800.92 / $20,680.40	Facility		$4,201.47	$6,800.92	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,196.14 / $32,221.71	Facility		$55.00	$4,196.14	$32,221.71
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,688.56 / $8,852.98 / $8,852.98	Facility	62	$2,688.56	$8,852.98	$8,852.98
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $430.17 / $1,416.48 / $1,416.48	Facility	AS	$430.17	$1,416.48	$1,416.48
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 $2,922.37 / $6,041.82 / $7,781.81	Facility		$2,922.37	$6,041.82	$7,781.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,426.17 / $5,930.85 / $6,244.40	Facility		$4,426.17	$5,930.85	$6,244.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,196.14 / $4,196.14 / $4,259.24	Facility		$4,196.14	$4,196.14	$4,259.24
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