Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,279.96 / $6,470.00 / $20,680.40	Facility		$3,279.96	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,502.60 / $56,497.64	Facility		$55.00	$3,502.60	$56,497.64
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $357.93 / $1,176.83 / $1,176.83	Facility	AS	$357.93	$1,176.83	$1,176.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,454.58 / $5,456.35 / $6,626.64	Facility		$2,454.58	$5,456.35	$6,626.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,824.53 / $4,918.87 / $5,233.28	Facility		$3,824.53	$4,918.87	$5,233.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,502.60 / $3,502.60 / $3,539.01	Facility		$3,502.60	$3,502.60	$3,539.01
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