Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,605.50 / $5,272.56 / $20,680.40	Facility		$2,605.50	$5,272.56	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,780.51 / $49,539.84	Facility		$55.00	$2,780.51	$49,539.84
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $283.98 / $933.88 / $933.88	Facility	AS	$283.98	$933.88	$933.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,954.24 / $3,607.50 / $5,275.95	Facility		$1,954.24	$3,607.50	$5,275.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,781.79 / $3,902.07 / $4,117.82	Facility		$2,781.79	$3,902.07	$4,117.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,780.51 / $2,780.51 / $2,808.72	Facility		$2,780.51	$2,780.51	$2,808.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $2,446.00 / $5,793.00	Facility		$1,323.00	$2,446.00	$5,793.00