Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $3,327.50 / $18,711.00	Facility		$1,733.00	$3,327.50	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,617.21 / $17,944.81	Facility		$55.00	$1,617.21	$17,944.81
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.86 / $545.88 / $545.88	Facility	AS	$165.86	$545.88	$545.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,447.71 / $2,525.17 / $3,161.71	Facility		$1,447.71	$2,525.17	$3,161.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,706.41 / $2,283.89 / $2,415.36	Facility		$1,706.41	$2,283.89	$2,415.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,617.21 / $1,617.21 / $1,642.46	Facility		$1,617.21	$1,617.21	$1,642.46
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