Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.98 / $4,497.00 / $20,680.40	Facility		$409.98	$4,497.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,658.06 / $5,000.00	Facility		$55.00	$3,658.06	$5,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $196.08 / $650.92 / $650.92	Facility	62	$196.08	$650.92	$650.92
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $31.37 / $104.15 / $104.15	Facility	AS	$31.37	$104.15	$104.15
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 $205.50 / $360.47 / $503.23	Facility		$205.50	$360.47	$503.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.58 / $430.93 / $459.62	Facility		$301.58	$430.93	$459.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.20 / $258.20 / $313.50	Facility		$258.20	$258.20	$313.50
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00