Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,156.75 / $4,078.52 / $20,680.40	Facility		$2,156.75	$4,078.52	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,149.48 / $12,879.79	Facility		$55.00	$2,149.48	$12,879.79
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $221.14 / $726.79 / $726.79	Facility	AS	$221.14	$726.79	$726.79
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 $1,497.30 / $3,075.67 / $3,993.37	Facility		$1,497.30	$3,075.67	$3,993.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,260.86 / $3,054.17 / $3,201.93	Facility		$2,260.86	$3,054.17	$3,201.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,149.48 / $2,149.48 / $2,184.00	Facility		$2,149.48	$2,149.48	$2,184.00
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