Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,086.97 / $6,211.87 / $20,680.40	Facility		$3,086.97	$6,211.87	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,289.23 / $58,642.92	Facility		$55.00	$3,289.23	$58,642.92
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $335.87 / $1,104.78 / $1,104.78	Facility	AS	$335.87	$1,104.78	$1,104.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,306.40 / $4,092.00 / $6,222.49	Facility		$2,306.40	$4,092.00	$6,222.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,538.13 / $4,616.60 / $4,920.47	Facility		$2,538.13	$4,616.60	$4,920.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,289.23 / $3,289.23 / $3,324.68	Facility		$3,289.23	$3,289.23	$3,324.68
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