Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.69 / $1,156.01 / $20,680.40	Facility		$507.69	$1,156.01	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $544.96 / $2,082.75	Facility		$55.00	$544.96	$2,082.75
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $55.49 / $182.57 / $182.57	Facility	AS	$55.49	$182.57	$182.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $382.85 / $854.05 / $1,037.22	Facility		$382.85	$854.05	$1,037.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.95 / $760.48 / $816.68	Facility		$579.95	$760.48	$816.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.96 / $544.96 / $548.40	Facility		$544.96	$544.96	$548.40
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