Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.34 / $4,500.00 / $22,024.00	Facility		$212.34	$4,500.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $229.67 / $770.52	Facility		$55.00	$229.67	$770.52
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $23.42 / $77.05 / $77.05	Facility	AS	$23.42	$77.05	$77.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $207.10 / $361.12 / $444.08	Facility		$207.10	$361.12	$444.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.20 / $321.00 / $338.35	Facility		$222.20	$321.00	$338.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.67 / $229.67 / $230.79	Facility		$229.67	$229.67	$230.79
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