Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.86 / $2,662.99 / $20,680.40	Facility		$1,263.86	$2,662.99	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,367.15 / $18,445.75	Facility		$55.00	$1,367.15	$18,445.75
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $138.59 / $456.42 / $456.42	Facility	AS	$138.59	$456.42	$456.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $969.99 / $2,151.80 / $2,613.32	Facility		$969.99	$2,151.80	$2,613.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,523.58 / $1,898.02 / $2,052.23	Facility		$1,523.58	$1,898.02	$2,052.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,367.15 / $1,367.15 / $1,376.03	Facility		$1,367.15	$1,367.15	$1,376.03
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