Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,210.33 / $6,470.00 / $22,024.00	Facility		$4,210.33	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,506.89 / $80,123.82	Facility		$55.00	$4,506.89	$80,123.82
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $459.29 / $1,510.64 / $1,510.64	Facility	AS	$459.29	$1,510.64	$1,510.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,083.57 / $7,120.28 / $8,756.02	Facility		$4,083.57	$7,120.28	$8,756.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,375.80 / $6,305.01 / $6,663.15	Facility		$4,375.80	$6,305.01	$6,663.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,506.89 / $4,506.89 / $4,544.87	Facility		$4,506.89	$4,506.89	$4,544.87
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