Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $10,122.46 / $22,024.00	Facility		$517.50	$10,122.46	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $3,192.80	Professional		$517.50	$517.50	$3,192.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $2,000.00	Facility		$55.00	$2,000.00	$2,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,667.80 / $4,308.85 / $4,308.85	Professional		$1,667.80	$4,308.85	$4,308.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.30 / $458.80 / $558.29	Professional		$354.30	$458.80	$558.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,501.16 / $1,501.16 / $8,060.67	Professional		$1,501.16	$1,501.16	$8,060.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.42 / $1,140.42 / $1,140.42	Facility		$1,140.42	$1,140.42	$1,140.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00