Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,164.40 / $6,398.51 / $20,680.40	Facility		$3,164.40	$6,398.51	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,375.30 / $60,186.21	Facility		$55.00	$3,375.30	$60,186.21
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $345.58 / $1,136.88 / $1,136.88	Facility	AS	$345.58	$1,136.88	$1,136.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,374.60 / $5,275.82 / $6,407.39	Facility		$2,374.60	$5,275.82	$6,407.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,611.39 / $4,749.24 / $5,047.64	Facility		$3,611.39	$4,749.24	$5,047.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,375.30 / $3,375.30 / $3,412.88	Facility		$3,375.30	$3,375.30	$3,412.88
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