Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,037.29 / $6,146.22 / $20,680.40	Facility		$3,037.29	$6,146.22	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,238.04 / $57,797.25	Facility		$55.00	$3,238.04	$57,797.25
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $331.14 / $1,087.83 / $1,087.83	Facility	AS	$331.14	$1,087.83	$1,087.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,279.73 / $5,042.43 / $6,151.17	Facility		$2,279.73	$5,042.43	$6,151.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,487.87 / $4,553.74 / $4,840.24	Facility		$3,487.87	$4,553.74	$4,840.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,238.04 / $3,238.04 / $3,273.49	Facility		$3,238.04	$3,238.04	$3,273.49
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