Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $4,414.79 / $18,711.00	Facility		$521.00	$4,414.79	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $429.12 / $1,423.00	Facility		$55.00	$429.12	$1,423.00
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $270.30 / $889.38 / $889.38	Facility	62	$270.30	$889.38	$889.38
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $43.25 / $142.30 / $142.30	Facility	AS	$43.25	$142.30	$142.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $392.99 / $680.39 / $842.66	Facility		$392.99	$680.39	$842.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $412.09 / $591.23 / $631.14	Facility		$412.09	$591.23	$631.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.18 / $427.18 / $429.12	Facility		$427.18	$427.18	$429.12
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