Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,568.73 / $5,293.23 / $22,024.00	Facility		$2,568.73	$5,293.23	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $26,682.04	Facility		$55.00	$5,000.00	$26,682.04
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $290.24 / $971.87 / $971.87	Facility	AS	$290.24	$971.87	$971.87
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 $1,981.52 / $3,956.66 / $5,060.39	Facility		$1,981.52	$3,956.66	$5,060.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,002.72 / $3,990.09 / $4,290.68	Facility		$3,002.72	$3,990.09	$4,290.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,824.46 / $2,824.46 / $2,926.63	Facility		$2,824.46	$2,824.46	$2,926.63
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