Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $392.10 / $20,680.40	Facility		$1.00	$392.10	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $208.38 / $693.34	Facility		$55.00	$208.38	$693.34
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $21.07 / $69.33 / $69.33	Facility	AS	$21.07	$69.33	$69.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $186.90 / $324.80 / $410.08	Facility		$186.90	$324.80	$410.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.42 / $288.83 / $310.76	Facility		$224.42	$288.83	$310.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.38 / $208.38 / $209.76	Facility		$208.38	$208.38	$209.76
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