Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.42 / $3,965.64 / $20,680.40	Facility		$1,887.42	$3,965.64	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,036.69 / $18,923.41	Facility		$55.00	$2,036.69	$18,923.41
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,291.53 / $4,249.09 / $4,249.09	Facility	62	$1,291.53	$4,249.09	$4,249.09
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $206.64 / $679.85 / $679.85	Facility	AS	$206.64	$679.85	$679.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,439.02 / $3,208.85 / $3,897.09	Facility		$1,439.02	$3,208.85	$3,897.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,386.79 / $2,831.66 / $3,050.51	Facility		$2,386.79	$2,831.66	$3,050.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,036.69 / $2,036.69 / $2,051.46	Facility		$2,036.69	$2,036.69	$2,051.46
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