Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.41 / $502.90 / $22,024.00	Facility		$216.41	$502.90	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,806.16 / $5,000.00	Facility		$55.00	$2,806.16	$5,000.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $24.05 / $79.33 / $79.33	Facility	AS	$24.05	$79.33	$79.33
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 $168.35 / $337.45 / $427.88	Facility		$168.35	$337.45	$427.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $252.84 / $330.85 / $354.96	Facility		$252.84	$330.85	$354.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.92 / $236.92 / $239.01	Facility		$236.92	$236.92	$239.01
United Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,367.00 / $5,793.00	Facility		$555.00	$1,367.00	$5,793.00