Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,029.96 / $5,158.35 / $22,024.00	Facility		$3,029.96	$5,158.35	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,238.95 / $57,616.23	Facility		$55.00	$3,238.95	$57,616.23
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $330.28 / $1,086.16 / $1,086.16	Facility	AS	$330.28	$1,086.16	$1,086.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,933.02 / $5,114.14 / $6,289.01	Facility		$2,933.02	$5,114.14	$6,289.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,145.56 / $4,536.38 / $4,789.83	Facility		$3,145.56	$4,536.38	$4,789.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,238.95 / $3,238.95 / $3,267.09	Facility		$3,238.95	$3,238.95	$3,267.09
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