Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.55 / $3,195.70 / $20,680.40	Facility		$1,520.55	$3,195.70	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,638.50 / $12,362.94	Facility		$55.00	$1,638.50	$12,362.94
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.24 / $544.05 / $544.05	Facility	AS	$165.24	$544.05	$544.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,165.59 / $2,588.25 / $3,143.38	Facility		$1,165.59	$2,588.25	$3,143.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,927.61 / $2,263.57 / $2,473.64	Facility		$1,927.61	$2,263.57	$2,473.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,638.50 / $1,638.50 / $1,639.72	Facility		$1,638.50	$1,638.50	$1,639.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.53 / $2,446.00 / $5,793.00	Facility		$1,162.53	$2,446.00	$5,793.00