Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.05 / $7,875.23 / $20,680.40	Facility		$4,168.05	$7,875.23	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,455.26 / $79,310.28	Facility		$55.00	$4,455.26	$79,310.28
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $454.46 / $1,494.44 / $1,494.44	Facility	AS	$454.46	$1,494.44	$1,494.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,123.56 / $6,947.67 / $8,437.83	Facility		$3,123.56	$6,947.67	$8,437.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,720.47 / $6,242.50 / $6,660.60	Facility		$4,720.47	$6,242.50	$6,660.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,455.26 / $4,455.26 / $4,496.88	Facility		$4,455.26	$4,455.26	$4,496.88
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