Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,045.06 / $4,206.87 / $20,680.40	Facility		$2,045.06	$4,206.87	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,177.12 / $48,169.94	Facility		$55.00	$2,177.12	$48,169.94
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $222.73 / $733.29 / $733.29	Facility	AS	$222.73	$733.29	$733.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,536.36 / $3,405.87 / $4,143.63	Facility		$1,536.36	$3,405.87	$4,143.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,353.46 / $3,061.18 / $3,256.52	Facility		$2,353.46	$3,061.18	$3,256.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,177.12 / $2,177.12 / $2,207.31	Facility		$2,177.12	$2,177.12	$2,207.31
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