Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.26 / $2,793.86 / $20,680.40	Facility		$1,319.26	$2,793.86	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,331.37 / $18,166.24	Facility		$55.00	$1,331.37	$18,166.24
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $136.59 / $449.30 / $449.30	Facility	AS	$136.59	$449.30	$449.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,205.72 / $2,050.71 / $2,501.50	Facility		$1,205.72	$2,050.71	$2,501.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,418.46 / $1,884.28 / $1,977.84	Facility		$1,418.46	$1,884.28	$1,977.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,331.37 / $1,331.37 / $1,349.06	Facility		$1,331.37	$1,331.37	$1,349.06
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