Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.25 / $2,078.29 / $22,024.00	Facility		$1,155.25	$2,078.29	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,159.68 / $15,883.84	Facility		$55.00	$1,159.68	$15,883.84
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $119.33 / $392.69 / $392.69	Facility	AS	$119.33	$392.69	$392.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,055.04 / $1,803.07 / $2,304.41	Facility		$1,055.04	$1,803.07	$2,304.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,239.70 / $1,646.59 / $1,730.60	Facility		$1,239.70	$1,646.59	$1,730.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,159.68 / $1,159.68 / $1,179.97	Facility		$1,159.68	$1,159.68	$1,179.97
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