Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.08 / $7,920.26 / $22,024.00	Facility		$536.08	$7,920.26	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $589.80 / $1,952.82	Facility		$55.00	$589.80	$1,952.82
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $59.35 / $195.28 / $195.28	Facility	AS	$59.35	$195.28	$195.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $534.30 / $931.66 / $1,145.69	Facility		$534.30	$931.66	$1,145.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $565.51 / $811.00 / $866.98	Facility		$565.51	$811.00	$866.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.80 / $589.80 / $589.99	Facility		$589.80	$589.80	$589.99
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