Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,473.76 / $7,838.71 / $20,680.40	Facility		$3,473.76	$7,838.71	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,373.40 / $5,897.00 / $18,900.41	Facility		$2,373.40	$5,897.00	$18,900.41
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,369.42 / $7,746.01 / $7,746.01	Facility	62	$2,369.42	$7,746.01	$7,746.01
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $379.11 / $1,239.35 / $1,239.35	Facility	AS	$379.11	$1,239.35	$1,239.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,352.16 / $5,554.92 / $6,956.83	Facility		$3,352.16	$5,554.92	$6,956.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,896.10 / $5,265.05 / $5,451.56	Facility		$3,896.10	$5,265.05	$5,451.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.40 / $3,645.29 / $3,712.21	Facility		$2,373.40	$3,645.29	$3,712.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,080.11 / $2,542.35 / $8,242.00	Facility		$2,080.11	$2,542.35	$8,242.00