Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.57 / $2,166.50 / $20,680.40	Facility		$1,067.57	$2,166.50	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,126.16 / $3,814.81	Facility		$55.00	$1,126.16	$3,814.81
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $116.05 / $381.48 / $381.48	Facility	AS	$116.05	$381.48	$381.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.53 / $1,754.50 / $2,130.81	Facility		$794.53	$1,754.50	$2,130.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,276.94 / $1,601.96 / $1,679.60	Facility		$1,276.94	$1,601.96	$1,679.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,126.16 / $1,126.16 / $1,145.24	Facility		$1,126.16	$1,126.16	$1,145.24
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