Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,037.22 / $6,149.95 / $20,680.40	Facility		$3,037.22	$6,149.95	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,238.50 / $57,817.41	Facility		$55.00	$3,238.50	$57,817.41
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,070.36 / $6,801.77 / $6,801.77	Facility	62	$2,070.36	$6,801.77	$6,801.77
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $331.26 / $1,088.28 / $1,088.28	Facility	AS	$331.26	$1,088.28	$1,088.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,281.29 / $5,070.64 / $6,158.21	Facility		$2,281.29	$5,070.64	$6,158.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,685.59 / $4,554.31 / $4,842.28	Facility		$3,685.59	$4,554.31	$4,842.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,238.50 / $3,238.50 / $3,274.86	Facility		$3,238.50	$3,238.50	$3,274.86
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