Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.55 / $9,305.92 / $23,000.00	Facility		$2,818.55	$9,305.92	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,037.68 / $27,992.36	Facility		$55.00	$3,037.68	$27,992.36
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,916.07 / $6,305.98 / $6,305.98	Facility	62	$1,916.07	$6,305.98	$6,305.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,798.91 / $4,818.49 / $6,001.45	Facility		$2,798.91	$4,818.49	$6,001.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,922.07 / $4,195.21 / $4,498.38	Facility		$2,922.07	$4,195.21	$4,498.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,026.49 / $3,026.49 / $3,037.68	Facility		$3,026.49	$3,026.49	$3,037.68
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