Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,857.05 / $5,877.66 / $22,024.00	Facility		$2,857.05	$5,877.66	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $29,528.18	Facility		$55.00	$5,000.00	$29,528.18
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $321.14 / $1,069.21 / $1,069.21	Facility	AS	$321.14	$1,069.21	$1,069.21
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 $2,184.78 / $4,389.49 / $5,609.20	Facility		$2,184.78	$4,389.49	$5,609.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,312.04 / $4,424.70 / $4,724.17	Facility		$3,312.04	$4,424.70	$4,724.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,125.25 / $3,125.25 / $3,222.31	Facility		$3,125.25	$3,125.25	$3,222.31
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