Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.79 / $2,074.76 / $20,680.40	Facility		$1,006.79	$2,074.76	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,083.58 / $8,231.12	Facility		$55.00	$1,083.58	$8,231.12
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $109.83 / $361.65 / $361.65	Facility	AS	$109.83	$361.65	$361.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $769.42 / $1,706.65 / $2,072.69	Facility		$769.42	$1,706.65	$2,072.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,196.96 / $1,506.17 / $1,626.56	Facility		$1,196.96	$1,506.17	$1,626.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,083.58 / $1,083.58 / $1,090.85	Facility		$1,083.58	$1,083.58	$1,090.85
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