Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,834.05 / $7,253.11 / $20,680.40	Facility		$3,834.05	$7,253.11	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,078.81 / $72,863.28	Facility		$55.00	$4,078.81	$72,863.28
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $417.24 / $1,370.61 / $1,370.61	Facility	AS	$417.24	$1,370.61	$1,370.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,878.35 / $6,256.08 / $7,773.93	Facility		$2,878.35	$6,256.08	$7,773.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,346.45 / $5,733.97 / $6,098.24	Facility		$4,346.45	$5,733.97	$6,098.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,078.81 / $4,078.81 / $4,126.25	Facility		$4,078.81	$4,078.81	$4,126.25
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