Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,905.36 / $7,392.23 / $20,680.40	Facility		$3,905.36	$7,392.23	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,177.10 / $74,272.38	Facility		$55.00	$4,177.10	$74,272.38
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $425.68 / $1,399.83 / $1,399.83	Facility	AS	$425.68	$1,399.83	$1,399.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,934.77 / $6,532.25 / $7,933.30	Facility		$2,934.77	$6,532.25	$7,933.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,434.63 / $5,844.23 / $6,249.88	Facility		$4,434.63	$5,844.23	$6,249.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,177.10 / $4,177.10 / $4,212.63	Facility		$4,177.10	$4,177.10	$4,212.63
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