Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,336.39 / $4,706.29 / $20,680.40	Facility		$2,336.39	$4,706.29	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,488.78 / $40,195.07	Facility		$55.00	$2,488.78	$40,195.07
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $254.58 / $837.29 / $837.29	Facility	AS	$254.58	$837.29	$837.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,745.92 / $3,875.85 / $4,707.14	Facility		$1,745.92	$3,875.85	$4,707.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,664.62 / $3,501.24 / $3,718.92	Facility		$2,664.62	$3,501.24	$3,718.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.78 / $2,488.78 / $2,517.61	Facility		$2,488.78	$2,488.78	$2,517.61
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