Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.45 / $2,280.09 / $20,680.40	Facility		$1,068.45	$2,280.09	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,079.95 / $14,816.96	Facility		$55.00	$1,079.95	$14,816.96
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $111.70 / $367.25 / $367.25	Facility	AS	$111.70	$367.25	$367.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $981.12 / $1,676.92 / $2,193.32	Facility		$981.12	$1,676.92	$2,193.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,243.91 / $1,541.10 / $1,653.57	Facility		$1,243.91	$1,541.10	$1,653.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,079.95 / $1,079.95 / $1,100.00	Facility		$1,079.95	$1,079.95	$1,100.00
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