Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,186.51 / $6,771.50 / $20,680.40	Facility		$4,186.51	$6,771.50	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,241.42 / $32,068.53	Facility		$55.00	$4,241.42	$32,068.53
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $427.50 / $1,408.15 / $1,408.15	Facility	AS	$427.50	$1,408.15	$1,408.15
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 $2,908.11 / $6,033.82 / $7,751.80	Facility		$2,908.11	$6,033.82	$7,751.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,402.16 / $5,891.71 / $6,218.27	Facility		$4,402.16	$5,891.71	$6,218.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,188.43 / $4,188.43 / $4,241.42	Facility		$4,188.43	$4,188.43	$4,241.42
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