Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.96 / $2,594.05 / $22,024.00	Facility		$1,167.96	$2,594.05	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,809.40 / $9,841.59	Facility		$55.00	$1,809.40	$9,841.59
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $132.16 / $439.31 / $439.31	Facility	AS	$132.16	$439.31	$439.31
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 $869.75 / $1,745.14 / $2,300.21	Facility		$869.75	$1,745.14	$2,300.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,297.01 / $1,793.59 / $1,915.53	Facility		$1,297.01	$1,793.59	$1,915.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,263.42 / $1,306.56 / $5,433.20	Facility		$1,263.42	$1,306.56	$5,433.20
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