Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.92 / $2,060.16 / $20,680.40	Facility		$975.92	$2,060.16	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $976.22 / $13,447.84	Facility		$55.00	$976.22	$13,447.84
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $100.94 / $332.13 / $332.13	Facility	AS	$100.94	$332.13	$332.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $883.96 / $1,513.07 / $1,837.60	Facility		$883.96	$1,513.07	$1,837.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,058.77 / $1,394.18 / $1,463.28	Facility		$1,058.77	$1,394.18	$1,463.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $976.22 / $976.22 / $998.09	Facility		$976.22	$976.22	$998.09
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00