Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.50 / $3,197.13 / $20,680.40	Facility		$1,513.50	$3,197.13	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,643.03 / $12,535.65	Facility		$55.00	$1,643.03	$12,535.65
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $166.92 / $549.66 / $549.66	Facility	AS	$166.92	$549.66	$549.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,164.67 / $2,588.96 / $3,144.26	Facility		$1,164.67	$2,588.96	$3,144.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,802.71 / $2,286.98 / $2,466.36	Facility		$1,802.71	$2,286.98	$2,466.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.03 / $1,643.03 / $1,662.57	Facility		$1,643.03	$1,643.03	$1,662.57
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