Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,491.11 / $6,470.00 / $22,024.00	Facility		$3,491.11	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,723.21 / $66,415.64	Facility		$55.00	$3,723.21	$66,415.64
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $380.54 / $1,251.32 / $1,251.32	Facility	AS	$380.54	$1,251.32	$1,251.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,610.51 / $5,799.27 / $7,043.11	Facility		$2,610.51	$5,799.27	$7,043.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,958.43 / $5,231.77 / $5,563.08	Facility		$3,958.43	$5,231.77	$5,563.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,723.21 / $3,723.21 / $3,764.31	Facility		$3,723.21	$3,723.21	$3,764.31
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