Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,417.83 / $5,030.72 / $22,024.00	Facility		$2,417.83	$5,030.72	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $20,256.48	Facility		$55.00	$5,000.00	$20,256.48
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $270.00 / $890.73 / $890.73	Facility	AS	$270.00	$890.73	$890.73
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 $1,860.00 / $3,713.28 / $4,728.00	Facility		$1,860.00	$3,713.28	$4,728.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,783.20 / $3,728.81 / $3,930.22	Facility		$2,783.20	$3,728.81	$3,930.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.12 / $2,630.12 / $2,680.76	Facility		$2,630.12	$2,630.12	$2,680.76
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,389.00 / $5,793.00	Facility		$702.00	$1,389.00	$5,793.00