Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,202.21 / $4,523.08 / $20,680.40	Facility		$2,202.21	$4,523.08	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,375.98 / $22,029.70	Facility		$55.00	$2,375.98	$22,029.70
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,503.59 / $4,946.41 / $4,946.41	Facility	62	$1,503.59	$4,946.41	$4,946.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,674.62 / $3,735.92 / $4,537.21	Facility		$1,674.62	$3,735.92	$4,537.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,774.38 / $3,296.10 / $3,546.31	Facility		$2,774.38	$3,296.10	$3,546.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,375.98 / $2,375.98 / $2,388.28	Facility		$2,375.98	$2,375.98	$2,388.28
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