Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.65 / $2,976.64 / $20,680.40	Facility		$1,403.65	$2,976.64	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,412.00 / $19,297.91	Facility		$55.00	$1,412.00	$19,297.91
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $145.35 / $477.61 / $477.61	Facility	AS	$145.35	$477.61	$477.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,276.74 / $2,143.44 / $2,664.39	Facility		$1,276.74	$2,143.44	$2,664.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,507.24 / $2,004.78 / $2,101.00	Facility		$1,507.24	$2,004.78	$2,101.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.00 / $1,412.00 / $1,432.24	Facility		$1,412.00	$1,412.00	$1,432.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00