Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.78 / $2,042.24 / $20,680.40	Facility		$968.78	$2,042.24	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,024.69 / $14,032.96	Facility		$55.00	$1,024.69	$14,032.96
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $105.54 / $347.12 / $347.12	Facility	AS	$105.54	$347.12	$347.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $748.03 / $1,654.45 / $2,009.30	Facility		$748.03	$1,654.45	$2,009.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,136.31 / $1,455.02 / $1,553.06	Facility		$1,136.31	$1,455.02	$1,553.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.69 / $1,024.69 / $1,042.42	Facility		$1,024.69	$1,024.69	$1,042.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00