Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.62 / $823.59 / $22,024.00	Facility		$355.62	$823.59	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,678.93 / $5,000.00	Facility		$55.00	$4,678.93	$5,000.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $40.09 / $133.22 / $133.22	Facility	AS	$40.09	$133.22	$133.22
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 $277.45 / $555.09 / $705.26	Facility		$277.45	$555.09	$705.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $420.91 / $550.48 / $588.26	Facility		$420.91	$550.48	$588.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.30 / $392.30 / $401.25	Facility		$392.30	$392.30	$401.25
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