Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $45.41 / $20,680.40	Facility		$19.55	$45.41	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $55.00 / $1,300.00	Facility		$21.48	$55.00	$1,300.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $5.00 / $7.11 / $7.11	Facility	AS	$5.00	$7.11	$7.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $33.35 / $40.50	Facility		$15.19	$33.35	$40.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $29.73 / $32.15	Facility		$23.03	$29.73	$32.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $21.74	Facility		$21.48	$21.48	$21.74
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00