Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.15 / $2,261.26 / $20,680.40	Facility		$1,059.15	$2,261.26	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,067.72 / $14,613.28	Facility		$55.00	$1,067.72	$14,613.28
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $110.16 / $362.41 / $362.41	Facility	AS	$110.16	$362.41	$362.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $970.62 / $1,664.60 / $2,131.42	Facility		$970.62	$1,664.60	$2,131.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,145.13 / $1,518.58 / $1,591.92	Facility		$1,145.13	$1,518.58	$1,591.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,067.72 / $1,067.72 / $1,085.83	Facility		$1,067.72	$1,067.72	$1,085.83
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00