Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.18 / $2,769.52 / $18,711.00	Facility		$270.18	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $202.94 / $684.26	Facility		$55.00	$202.94	$684.26
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $20.42 / $68.43 / $68.43	Facility	AS	$20.42	$68.43	$68.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,031.00 / $47,402.00 / $49,858.00	Facility		$20,031.00	$47,402.00	$49,858.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.63 / $311.08 / $392.70	Facility		$181.63	$311.08	$392.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $220.45 / $280.02 / $304.85	Facility		$220.45	$280.02	$304.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.94 / $202.94 / $207.48	Facility		$202.94	$202.94	$207.48
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00