Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,308.18 / $4,500.00 / $22,024.00	Facility		$1,308.18	$4,500.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,393.88 / $18,944.64	Facility		$55.00	$1,393.88	$18,944.64
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $142.56 / $468.83 / $468.83	Facility	AS	$142.56	$468.83	$468.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,264.28 / $2,204.46 / $2,710.89	Facility		$1,264.28	$2,204.46	$2,710.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,355.20 / $1,962.41 / $2,063.60	Facility		$1,355.20	$1,962.41	$2,063.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,393.88 / $1,393.88 / $1,407.56	Facility		$1,393.88	$1,393.88	$1,407.56
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