Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.82 / $3,293.41 / $20,680.40	Facility		$1,578.82	$3,293.41	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,710.53 / $23,059.04	Facility		$55.00	$1,710.53	$23,059.04
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $173.53 / $571.47 / $571.47	Facility	AS	$173.53	$571.47	$571.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,198.15 / $2,672.35 / $3,245.52	Facility		$1,198.15	$2,672.35	$3,245.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $2,377.66 / $2,547.34	Facility		$1,987.50	$2,377.66	$2,547.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,710.53 / $1,710.53 / $1,720.15	Facility		$1,710.53	$1,710.53	$1,720.15
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