Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,034.88 / $10,312.70 / $20,680.40	Facility		$6,034.88	$10,312.70	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,454.80 / $115,030.23	Facility		$55.00	$6,454.80	$115,030.23
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $4,119.66 / $13,549.59 / $13,549.59	Facility	62	$4,119.66	$13,549.59	$13,549.59
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $659.15 / $2,167.94 / $2,167.94	Facility	AS	$659.15	$2,167.94	$2,167.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,517.32 / $9,802.66 / $12,201.08	Facility		$4,517.32	$9,802.66	$12,201.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,841.62 / $9,055.42 / $9,636.95	Facility		$6,841.62	$9,055.42	$9,636.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,454.80 / $6,454.80 / $6,522.76	Facility		$6,454.80	$6,454.80	$6,522.76
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