Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,049.54 / $6,172.39 / $20,680.40	Facility		$3,049.54	$6,172.39	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,252.09 / $52,435.44	Facility		$55.00	$3,252.09	$52,435.44
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $332.31 / $1,092.52 / $1,092.52	Facility	AS	$332.31	$1,092.52	$1,092.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,285.94 / $5,079.35 / $6,168.78	Facility		$2,285.94	$5,079.35	$6,168.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,560.72 / $4,567.91 / $4,863.35	Facility		$3,560.72	$4,567.91	$4,863.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,252.09 / $3,252.09 / $3,284.46	Facility		$3,252.09	$3,252.09	$3,284.46
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