Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.61 / $748.34 / $22,024.00	Facility		$321.61	$748.34	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,239.62 / $5,000.00	Facility		$55.00	$4,239.62	$5,000.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $36.36 / $120.96 / $120.96	Facility	AS	$36.36	$120.96	$120.96
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 $251.72 / $505.19 / $639.85	Facility		$251.72	$505.19	$639.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $382.69 / $499.06 / $533.32	Facility		$382.69	$499.06	$533.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.79 / $363.77 / $6,526.97	Facility		$353.79	$363.77	$6,526.97
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00