Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.29 / $3,478.40 / $20,680.40	Facility		$1,708.29	$3,478.40	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,811.09 / $24,707.52	Facility		$55.00	$1,811.09	$24,707.52
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $185.81 / $611.13 / $611.13	Facility	AS	$185.81	$611.13	$611.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,273.79 / $2,820.97 / $3,426.02	Facility		$1,273.79	$2,820.97	$3,426.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,974.82 / $2,559.55 / $2,705.04	Facility		$1,974.82	$2,559.55	$2,705.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,811.09 / $1,811.09 / $1,836.23	Facility		$1,811.09	$1,811.09	$1,836.23
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