Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.84 / $1,476.52 / $20,680.40	Facility		$647.84	$1,476.52	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $696.26 / $12,335.40	Facility		$55.00	$696.26	$12,335.40
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $70.72 / $232.52 / $232.52	Facility	AS	$70.72	$232.52	$232.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $488.87 / $1,088.91 / $1,325.15	Facility		$488.87	$1,088.91	$1,325.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $740.80 / $969.29 / $1,041.76	Facility		$740.80	$969.29	$1,041.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.26 / $696.26 / $700.12	Facility		$696.26	$696.26	$700.12
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