Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,967.32 / $5,995.72 / $20,680.40	Facility		$2,967.32	$5,995.72	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,164.21 / $56,499.45	Facility		$55.00	$3,164.21	$56,499.45
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $323.76 / $1,064.82 / $1,064.82	Facility	AS	$323.76	$1,064.82	$1,064.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,224.25 / $4,940.14 / $5,999.72	Facility		$2,224.25	$4,940.14	$5,999.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,421.94 / $4,450.92 / $4,727.35	Facility		$3,421.94	$4,450.92	$4,727.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,164.21 / $3,164.21 / $3,202.66	Facility		$3,164.21	$3,164.21	$3,202.66
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