Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,385.01 / $3,100.89 / $22,024.00	Facility		$1,385.01	$3,100.89	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,549.23 / $11,672.82	Facility		$55.00	$1,549.23	$11,672.82
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $155.63 / $516.36 / $516.36	Facility	AS	$155.63	$516.36	$516.36
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 $1,045.94 / $2,079.30 / $2,729.55	Facility		$1,045.94	$2,079.30	$2,729.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,571.92 / $2,145.34 / $2,271.30	Facility		$1,571.92	$2,145.34	$2,271.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,504.41 / $1,504.41 / $1,549.23	Facility		$1,504.41	$1,504.41	$1,549.23
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