Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,842.99 / $3,933.29 / $20,680.40	Facility		$1,842.99	$3,933.29	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,861.38 / $25,365.12	Facility		$55.00	$1,861.38	$25,365.12
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,191.26 / $3,920.79 / $3,920.79	Facility	62	$1,191.26	$3,920.79	$3,920.79
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $190.60 / $627.33 / $627.33	Facility	AS	$190.60	$627.33	$627.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,685.88 / $2,897.82 / $3,519.35	Facility		$1,685.88	$2,897.82	$3,519.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,088.38 / $2,623.07 / $2,782.56	Facility		$2,088.38	$2,623.07	$2,782.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,861.38 / $1,861.38 / $1,886.95	Facility		$1,861.38	$1,861.38	$1,886.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,612.00 / $5,793.00	Facility		$1,120.00	$1,612.00	$5,793.00