Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,833.40 / $3,753.57 / $20,680.40	Facility		$1,833.40	$3,753.57	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,967.83 / $26,715.04	Facility		$55.00	$1,967.83	$26,715.04
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,250.35 / $4,114.74 / $4,114.74	Facility	62	$1,250.35	$4,114.74	$4,114.74
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $200.06 / $658.36 / $658.36	Facility	AS	$200.06	$658.36	$658.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,369.27 / $3,021.31 / $3,694.57	Facility		$1,369.27	$3,021.31	$3,694.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,065.42 / $2,750.01 / $2,923.32	Facility		$2,065.42	$2,750.01	$2,923.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,967.83 / $1,967.83 / $1,988.41	Facility		$1,967.83	$1,967.83	$1,988.41
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