Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.73 / $951.53 / $20,680.40	Facility		$251.73	$951.53	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $273.16 / $1,401.63	Facility		$55.00	$273.16	$1,401.63
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $172.63 / $876.02 / $876.02	Facility	62	$172.63	$876.02	$876.02
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $27.62 / $140.16 / $140.16	Facility	AS	$27.62	$140.16	$140.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $252.09 / $439.56 / $812.70	Facility		$252.09	$439.56	$812.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $329.32 / $402.67 / $661.96	Facility		$329.32	$402.67	$661.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.16 / $273.16 / $274.66	Facility		$273.16	$273.16	$274.66
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