Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,424.32 / $6,473.15 / $20,680.40	Facility		$3,424.32	$6,473.15	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,656.62 / $65,213.82	Facility		$55.00	$3,656.62	$65,213.82
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $373.58 / $1,228.01 / $1,228.01	Facility	AS	$373.58	$1,228.01	$1,228.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,570.21 / $5,643.67 / $6,940.98	Facility		$2,570.21	$5,643.67	$6,940.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,879.88 / $5,133.97 / $5,463.80	Facility		$3,879.88	$5,133.97	$5,463.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,656.62 / $3,656.62 / $3,696.67	Facility		$3,656.62	$3,656.62	$3,696.67
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