Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.72 / $1,733.00 / $20,680.40	Facility		$805.72	$1,733.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $865.68 / $2,891.40	Facility		$55.00	$865.68	$2,891.40
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $87.91 / $289.14 / $289.14	Facility	AS	$87.91	$289.14	$289.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $606.36 / $1,352.85 / $1,643.01	Facility		$606.36	$1,352.85	$1,643.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $932.47 / $1,204.88 / $1,296.08	Facility		$932.47	$1,204.88	$1,296.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $865.68 / $865.68 / $869.67	Facility		$865.68	$865.68	$869.67
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