Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.62 / $440.15 / $20,680.40	Facility		$203.62	$440.15	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $208.83 / $694.84	Facility		$55.00	$208.83	$694.84
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $21.12 / $69.48 / $69.48	Facility	AS	$21.12	$69.48	$69.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $186.90 / $324.80 / $412.61	Facility		$186.90	$324.80	$412.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.14 / $289.49 / $311.44	Facility		$229.14	$289.49	$311.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.83 / $208.83 / $209.76	Facility		$208.83	$208.83	$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