Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.42 / $1,091.69 / $20,680.40	Facility		$449.42	$1,091.69	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $480.18 / $4,459.84	Facility		$55.00	$480.18	$4,459.84
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $48.68 / $159.86 / $159.86	Facility	AS	$48.68	$159.86	$159.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $398.97 / $860.47 / $1,120.89	Facility		$398.97	$860.47	$1,120.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $578.95 / $706.18 / $831.47	Facility		$578.95	$706.18	$831.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.18 / $480.18 / $482.14	Facility		$480.18	$480.18	$482.14
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