Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,426.67 / $5,013.14 / $22,024.00	Facility		$2,426.67	$5,013.14	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $20,590.38	Facility		$55.00	$5,000.00	$20,590.38
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $274.66 / $919.64 / $919.64	Facility	AS	$274.66	$919.64	$919.64
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 $1,864.96 / $3,721.83 / $4,785.25	Facility		$1,864.96	$3,721.83	$4,785.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,794.60 / $3,777.00 / $4,044.12	Facility		$2,794.60	$3,777.00	$4,044.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,666.36 / $2,666.36 / $2,758.45	Facility		$2,666.36	$2,666.36	$2,758.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00