Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.63 / $4,414.79 / $18,711.00	Facility		$215.63	$4,414.79	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $163.53 / $544.99	Facility		$55.00	$163.53	$544.99
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $103.52 / $340.62 / $340.62	Facility	62	$103.52	$340.62	$340.62
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $16.55 / $54.50 / $54.50	Facility	AS	$16.55	$54.50	$54.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $157.02 / $268.25 / $336.70	Facility		$157.02	$268.25	$336.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.82 / $226.38 / $243.21	Facility		$157.82	$226.38	$243.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $163.53 / $164.06	Facility		$163.53	$163.53	$164.06
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00