Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.04 / $2,607.62 / $20,680.40	Facility		$1,230.04	$2,607.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,234.88 / $16,871.84	Facility		$55.00	$1,234.88	$16,871.84
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $126.93 / $417.36 / $417.36	Facility	AS	$126.93	$417.36	$417.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,120.14 / $1,900.41 / $2,331.56	Facility		$1,120.14	$1,900.41	$2,331.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,299.43 / $1,751.94 / $1,835.13	Facility		$1,299.43	$1,751.94	$1,835.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,234.88 / $1,234.88 / $1,251.72	Facility		$1,234.88	$1,234.88	$1,251.72
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