Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.93 / $4,500.00 / $22,024.00	Facility		$1,037.93	$4,500.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,102.59 / $15,067.52	Facility		$55.00	$1,102.59	$15,067.52
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $113.56 / $373.61 / $373.61	Facility	AS	$113.56	$373.61	$373.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,001.15 / $1,745.66 / $2,146.69	Facility		$1,001.15	$1,745.66	$2,146.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,564.78 / $1,641.50	Facility		$1,078.00	$1,564.78	$1,641.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,102.59 / $1,102.59 / $1,119.65	Facility		$1,102.59	$1,102.59	$1,119.65
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