Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,304.78 / $4,651.60 / $20,680.40	Facility		$2,304.78	$4,651.60	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,448.01 / $33,301.12	Facility		$55.00	$2,448.01	$33,301.12
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $250.57 / $824.12 / $824.12	Facility	AS	$250.57	$824.12	$824.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,725.46 / $3,828.00 / $4,649.04	Facility		$1,725.46	$3,828.00	$4,649.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,785.65 / $3,446.78 / $3,664.52	Facility		$2,785.65	$3,446.78	$3,664.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,448.01 / $2,448.01 / $2,476.94	Facility		$2,448.01	$2,448.01	$2,476.94
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