Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,042.30 / $6,470.00 / $22,024.00	Facility		$4,042.30	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,325.70 / $95,175.60	Facility		$55.00	$4,325.70	$95,175.60
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $440.23 / $1,447.81 / $1,447.81	Facility	AS	$440.23	$1,447.81	$1,447.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,925.27 / $6,844.26 / $8,416.59	Facility		$3,925.27	$6,844.26	$8,416.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,194.18 / $6,043.20 / $6,393.14	Facility		$4,194.18	$6,043.20	$6,393.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,325.70 / $4,325.70 / $4,360.68	Facility		$4,325.70	$4,325.70	$4,360.68
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