Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.38 / $564.91 / $20,680.40	Facility		$233.38	$564.91	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $250.96 / $845.28	Facility		$55.00	$250.96	$845.28
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $25.40 / $83.41 / $83.41	Facility	AS	$25.40	$83.41	$83.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.24 / $404.22 / $534.12	Facility		$187.24	$404.22	$534.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $348.72 / $391.28	Facility		$296.27	$348.72	$391.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.96 / $250.96 / $251.35	Facility		$250.96	$250.96	$251.35
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