Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,188.71 / $4,186.04 / $20,680.40	Facility		$2,188.71	$4,186.04	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,212.00 / $30,187.84	Facility		$55.00	$2,212.00	$30,187.84
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $226.81 / $746.31 / $746.31	Facility	AS	$226.81	$746.31	$746.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,003.67 / $3,358.69 / $4,176.21	Facility		$2,003.67	$3,358.69	$4,176.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,330.92 / $3,122.62 / $3,302.08	Facility		$2,330.92	$3,122.62	$3,302.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $2,212.00 / $2,245.23	Facility		$2,212.00	$2,212.00	$2,245.23
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