Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.88 / $2,510.46 / $20,680.40	Facility		$1,184.88	$2,510.46	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,190.48 / $16,316.96	Facility		$55.00	$1,190.48	$16,316.96
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $122.58 / $403.43 / $403.43	Facility	AS	$122.58	$403.43	$403.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,078.30 / $1,845.12 / $2,240.87	Facility		$1,078.30	$1,845.12	$2,240.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,291.43 / $1,690.73 / $1,787.04	Facility		$1,291.43	$1,690.73	$1,787.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,190.48 / $1,190.48 / $1,212.42	Facility		$1,190.48	$1,190.48	$1,212.42
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