Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,740.14 / $5,533.38 / $20,680.40	Facility		$2,740.14	$5,533.38	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,921.40 / $47,192.77	Facility		$55.00	$2,921.40	$47,192.77
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $299.05 / $983.53 / $983.53	Facility	AS	$299.05	$983.53	$983.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,052.82 / $4,559.52 / $5,537.46	Facility		$2,052.82	$4,559.52	$5,537.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,151.92 / $4,111.83 / $4,364.92	Facility		$3,151.92	$4,111.83	$4,364.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,921.40 / $2,921.40 / $2,956.33	Facility		$2,921.40	$2,921.40	$2,956.33
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