Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,401.04 / $6,470.00 / $20,680.40	Facility		$3,401.04	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,628.53 / $64,674.75	Facility		$55.00	$3,628.53	$64,674.75
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $369.97 / $1,216.66 / $1,216.66	Facility	AS	$369.97	$1,216.66	$1,216.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,551.61 / $5,566.11 / $6,886.39	Facility		$2,551.61	$5,566.11	$6,886.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,840.63 / $5,084.39 / $5,425.72	Facility		$3,840.63	$5,084.39	$5,425.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,628.53 / $3,628.53 / $3,666.51	Facility		$3,628.53	$3,628.53	$3,666.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $2,599.69 / $5,793.00	Facility		$1,323.00	$2,599.69	$5,793.00