Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,324.80 / $10,269.79 / $20,680.40	Facility		$6,324.80	$10,269.79	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,435.77 / $114,807.21	Facility		$55.00	$6,435.77	$114,807.21
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $4,114.74 / $13,541.08 / $13,541.08	Facility	62	$4,114.74	$13,541.08	$13,541.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,775.29 / $8,461.04 / $12,221.34	Facility		$4,775.29	$8,461.04	$12,221.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,676.24 / $9,039.15 / $9,604.98	Facility		$5,676.24	$9,039.15	$9,604.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,435.77 / $6,435.77 / $6,514.99	Facility		$6,435.77	$6,435.77	$6,514.99
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