Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,648.27 / $5,347.24 / $20,680.40	Facility		$2,648.27	$5,347.24	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,823.55 / $45,573.97	Facility		$55.00	$2,823.55	$45,573.97
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $288.67 / $949.32 / $949.32	Facility	AS	$288.67	$949.32	$949.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,983.07 / $4,403.64 / $5,348.15	Facility		$1,983.07	$4,403.64	$5,348.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,108.11 / $3,969.46 / $4,217.35	Facility		$3,108.11	$3,969.46	$4,217.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,823.55 / $2,823.55 / $2,854.42	Facility		$2,823.55	$2,823.55	$2,854.42
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