Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,798.64 / $5,790.97 / $22,024.00	Facility		$2,798.64	$5,790.97	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $23,769.27	Facility		$55.00	$5,000.00	$23,769.27
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $318.39 / $1,057.84 / $1,057.84	Facility	AS	$318.39	$1,057.84	$1,057.84
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 $2,149.85 / $4,287.54 / $5,529.61	Facility		$2,149.85	$4,287.54	$5,529.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,234.49 / $4,390.51 / $4,634.39	Facility		$3,234.49	$4,390.51	$4,634.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,045.07 / $3,045.07 / $3,161.07	Facility		$3,045.07	$3,045.07	$3,161.07
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