Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,988.83 / $7,920.26 / $27,982.24	Facility		$3,988.83	$7,920.26	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,274.06 / $75,831.00	Facility		$55.00	$4,274.06	$75,831.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $435.03 / $1,430.86 / $1,430.86	Facility	AS	$435.03	$1,430.86	$1,430.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,006.69 / $6,691.02 / $8,126.13	Facility		$3,006.69	$6,691.02	$8,126.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,692.85 / $5,971.91 / $6,383.84	Facility		$4,692.85	$5,971.91	$6,383.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,274.06 / $4,274.06 / $4,302.20	Facility		$4,274.06	$4,274.06	$4,302.20
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