Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,534.66 / $5,214.43 / $22,024.00	Facility		$2,534.66	$5,214.43	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $26,294.51	Facility		$55.00	$5,000.00	$26,294.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $287.04 / $961.12 / $961.12	Facility	AS	$287.04	$961.12	$961.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,000.00 / $2,285.42	Facility		$714.97	$2,000.00	$2,285.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,955.48 / $3,906.01 / $5,004.31	Facility		$1,955.48	$3,906.01	$5,004.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,927.35 / $3,944.96 / $4,228.37	Facility		$2,927.35	$3,944.96	$4,228.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,789.12 / $2,789.12 / $2,884.13	Facility		$2,789.12	$2,789.12	$2,884.13
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