Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.94 / $2,849.74 / $20,680.40	Facility		$1,350.94	$2,849.74	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,457.30 / $11,028.06	Facility		$55.00	$1,457.30	$11,028.06
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $147.30 / $485.03 / $485.03	Facility	AS	$147.30	$485.03	$485.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,038.81 / $2,304.05 / $2,798.22	Facility		$1,038.81	$2,304.05	$2,798.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,605.24 / $2,018.35 / $2,187.56	Facility		$1,605.24	$2,018.35	$2,187.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,457.30 / $1,457.30 / $1,462.40	Facility		$1,457.30	$1,457.30	$1,462.40
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