Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,769.01 / $3,778.21 / $20,680.40	Facility		$1,769.01	$3,778.21	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,786.18 / $24,358.88	Facility		$55.00	$1,786.18	$24,358.88
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $183.05 / $602.50 / $602.50	Facility	AS	$183.05	$602.50	$602.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,618.68 / $2,784.72 / $3,532.14	Facility		$1,618.68	$2,784.72	$3,532.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,918.35 / $2,519.66 / $2,669.00	Facility		$1,918.35	$2,519.66	$2,669.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,786.18 / $1,786.18 / $1,812.01	Facility		$1,786.18	$1,786.18	$1,812.01
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