Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,952.14 / $4,151.76 / $20,680.40	Facility		$1,952.14	$4,151.76	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,972.82 / $26,887.04	Facility		$55.00	$1,972.82	$26,887.04
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $202.06 / $664.87 / $664.87	Facility	AS	$202.06	$664.87	$664.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,787.10 / $3,059.50 / $3,715.71	Facility		$1,787.10	$3,059.50	$3,715.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,141.00 / $2,782.49 / $2,939.15	Facility		$2,141.00	$2,782.49	$2,939.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,972.82 / $1,972.82 / $1,998.92	Facility		$1,972.82	$1,972.82	$1,998.92
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