Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,166.85 / $4,834.79 / $22,024.00	Facility		$2,166.85	$4,834.79	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,960.99 / $39,500.00	Facility		$55.00	$10,960.99	$39,500.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $244.52 / $812.47 / $812.47	Facility	AS	$244.52	$812.47	$812.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,666.56 / $3,323.86 / $4,254.64	Facility		$1,666.56	$3,323.86	$4,254.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,514.19 / $3,372.16 / $3,578.47	Facility		$2,514.19	$3,372.16	$3,578.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $2,363.30 / $6,526.97	Facility		$2,173.66	$2,363.30	$6,526.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00