Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,234.81 / $2,619.21 / $20,680.40	Facility		$1,234.81	$2,619.21	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,241.67 / $16,984.32	Facility		$55.00	$1,241.67	$16,984.32
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $127.69 / $420.09 / $420.09	Facility	AS	$127.69	$420.09	$420.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,128.47 / $1,927.77 / $2,461.36	Facility		$1,128.47	$1,927.77	$2,461.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,326.43 / $1,761.13 / $1,853.00	Facility		$1,326.43	$1,761.13	$1,853.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,241.67 / $1,241.67 / $1,261.78	Facility		$1,241.67	$1,241.67	$1,261.78
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