Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.23 / $2,254.62 / $20,680.40	Facility		$1,068.23	$2,254.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,072.70 / $14,685.28	Facility		$55.00	$1,072.70	$14,685.28
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $110.46 / $363.47 / $363.47	Facility	AS	$110.46	$363.47	$363.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $967.19 / $1,658.07 / $2,013.70	Facility		$967.19	$1,658.07	$2,013.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,139.28 / $1,524.82 / $1,610.24	Facility		$1,139.28	$1,524.82	$1,610.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,072.70 / $1,072.70 / $1,090.40	Facility		$1,072.70	$1,072.70	$1,090.40
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