Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,522.65 / $5,115.01 / $20,680.40	Facility		$2,522.65	$5,115.01	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,688.56 / $48,025.11	Facility		$55.00	$2,688.56	$48,025.11
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $275.10 / $904.66 / $904.66	Facility	AS	$275.10	$904.66	$904.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,894.10 / $4,205.00 / $5,106.89	Facility		$1,894.10	$4,205.00	$5,106.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,940.79 / $3,783.14 / $4,035.80	Facility		$2,940.79	$3,783.14	$4,035.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,688.56 / $2,688.56 / $2,721.44	Facility		$2,688.56	$2,688.56	$2,721.44
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