Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,018.47 / $6,072.66 / $20,680.40	Facility		$3,018.47	$6,072.66	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,219.47 / $51,899.45	Facility		$55.00	$3,219.47	$51,899.45
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $328.45 / $1,080.10 / $1,080.10	Facility	AS	$328.45	$1,080.10	$1,080.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,253.39 / $5,006.12 / $6,079.85	Facility		$2,253.39	$5,006.12	$6,079.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,442.25 / $4,515.31 / $4,809.64	Facility		$3,442.25	$4,515.31	$4,809.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,219.47 / $3,219.47 / $3,251.56	Facility		$3,219.47	$3,219.47	$3,251.56
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