Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,412.92 / $4,865.59 / $20,680.40	Facility		$2,412.92	$4,865.59	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,572.13 / $41,507.01	Facility		$55.00	$2,572.13	$41,507.01
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $262.82 / $864.24 / $864.24	Facility	AS	$262.82	$864.24	$864.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,804.51 / $4,007.07 / $4,866.52	Facility		$1,804.51	$4,007.07	$4,866.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,755.27 / $3,614.24 / $3,810.96	Facility		$2,755.27	$3,614.24	$3,810.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,572.13 / $2,572.13 / $2,599.42	Facility		$2,572.13	$2,572.13	$2,599.42
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