Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.48 / $4,888.63 / $20,680.40	Facility		$2,398.48	$4,888.63	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,578.02 / $34,873.12	Facility		$55.00	$2,578.02	$34,873.12
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $262.08 / $969.89 / $969.89	Facility	AS	$262.08	$969.89	$969.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,816.91 / $4,053.47 / $5,510.62	Facility		$1,816.91	$4,053.47	$5,510.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,915.16 / $3,592.24 / $3,924.03	Facility		$2,915.16	$3,592.24	$3,924.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,578.02 / $2,578.02 / $2,598.50	Facility		$2,578.02	$2,578.02	$2,598.50
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