Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.48 / $1,390.52 / $20,680.40	Facility		$671.48	$1,390.52	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $722.08 / $2,408.46	Facility		$55.00	$722.08	$2,408.46
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $73.23 / $240.85 / $240.85	Facility	AS	$73.23	$240.85	$240.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $505.92 / $1,128.82 / $1,370.93	Facility		$505.92	$1,128.82	$1,370.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $777.63 / $1,003.89 / $1,079.83	Facility		$777.63	$1,003.89	$1,079.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.08 / $722.08 / $725.72	Facility		$722.08	$722.08	$725.72
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