Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,829.47 / $5,802.44 / $36,632.36	Facility		$2,829.47	$5,802.44	$36,632.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,017.43 / $53,823.63	Facility		$55.00	$3,017.43	$53,823.63
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $308.33 / $1,013.95 / $1,013.95	Facility	AS	$308.33	$1,013.95	$1,013.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,117.30 / $4,703.80 / $5,712.68	Facility		$2,117.30	$4,703.80	$5,712.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,268.10 / $4,238.84 / $4,509.76	Facility		$3,268.10	$4,238.84	$4,509.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,017.43 / $3,017.43 / $3,050.93	Facility		$3,017.43	$3,017.43	$3,050.93
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