Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.01 / $3,051.15 / $27,982.24	Facility		$1,353.01	$3,051.15	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,503.99 / $11,366.28	Facility		$55.00	$1,503.99	$11,366.28
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $151.84 / $502.44 / $502.44	Facility	AS	$151.84	$502.44	$502.44
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 $1,029.51 / $2,046.41 / $2,654.96	Facility		$1,029.51	$2,046.41	$2,654.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,524.72 / $2,102.25 / $2,204.96	Facility		$1,524.72	$2,102.25	$2,204.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,460.93 / $1,460.93 / $1,503.99	Facility		$1,460.93	$1,460.93	$1,503.99
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