Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.11 / $1,874.93 / $20,680.40	Facility		$890.11	$1,874.93	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $890.60 / $9,957.74	Facility		$55.00	$890.60	$9,957.74
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $92.02 / $302.45 / $302.45	Facility	AS	$92.02	$302.45	$302.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $808.05 / $1,380.40 / $1,676.47	Facility		$808.05	$1,380.40	$1,676.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $992.25 / $1,271.94 / $1,332.63	Facility		$992.25	$1,271.94	$1,332.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.60 / $890.60 / $908.97	Facility		$890.60	$890.60	$908.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $8,600.00 / $26,100.00	Facility		$3,340.00	$8,600.00	$26,100.00