Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.38 / $3,078.12 / $20,680.40	Facility		$1,448.38	$3,078.12	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,459.11 / $19,942.24	Facility		$55.00	$1,459.11	$19,942.24
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $149.90 / $493.20 / $493.20	Facility	AS	$149.90	$493.20	$493.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,324.26 / $2,211.41 / $2,754.20	Facility		$1,324.26	$2,211.41	$2,754.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,560.16 / $2,066.04 / $2,178.04	Facility		$1,560.16	$2,066.04	$2,178.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,459.11 / $1,459.11 / $1,482.05	Facility		$1,459.11	$1,459.11	$1,482.05
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