Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.29 / $2,897.74 / $27,982.24	Facility		$1,378.29	$2,897.74	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,489.46 / $11,281.77	Facility		$55.00	$1,489.46	$11,281.77
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.38 / $495.17 / $495.17	Facility	AS	$150.38	$495.17	$495.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,056.17 / $2,341.02 / $2,843.13	Facility		$1,056.17	$2,341.02	$2,843.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,633.17 / $2,060.71 / $2,235.84	Facility		$1,633.17	$2,060.71	$2,235.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,489.46 / $1,489.46 / $1,495.76	Facility		$1,489.46	$1,489.46	$1,495.76
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