Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.05 / $4,497.00 / $18,711.00	Facility		$407.05	$4,497.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,116.84 / $5,000.00	Facility		$55.00	$4,116.84	$5,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $221.17 / $735.14 / $735.14	Facility	62	$221.17	$735.14	$735.14
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $35.39 / $117.62 / $117.62	Facility	AS	$35.39	$117.62	$117.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $274.50 / $481.50 / $645.54	Facility		$274.50	$481.50	$645.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.68 / $485.80 / $517.24	Facility		$339.68	$485.80	$517.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.19 / $345.19 / $352.80	Facility		$345.19	$345.19	$352.80
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00