Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,719.48 / $3,610.70 / $20,680.40	Facility		$1,719.48	$3,610.70	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,855.04 / $14,046.30	Facility		$55.00	$1,855.04	$14,046.30
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $187.70 / $618.09 / $618.09	Facility	AS	$187.70	$618.09	$618.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,315.33 / $2,919.57 / $3,545.77	Facility		$1,315.33	$2,919.57	$3,545.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,035.95 / $2,571.42 / $2,784.60	Facility		$2,035.95	$2,571.42	$2,784.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,855.04 / $1,855.04 / $1,862.73	Facility		$1,855.04	$1,855.04	$1,862.73
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