Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,122.89 / $4,489.78 / $20,680.40	Facility		$2,122.89	$4,489.78	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,139.07 / $29,256.16	Facility		$55.00	$2,139.07	$29,256.16
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $219.69 / $722.85 / $722.85	Facility	AS	$219.69	$722.85	$722.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,934.79 / $3,304.33 / $4,014.19	Facility		$1,934.79	$3,304.33	$4,014.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,278.09 / $3,029.04 / $3,188.52	Facility		$2,278.09	$3,029.04	$3,188.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,139.07 / $2,139.07 / $2,173.48	Facility		$2,139.07	$2,139.07	$2,173.48
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