Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,042.94 / $4,305.79 / $20,680.40	Facility		$2,042.94	$4,305.79	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,212.44 / $16,739.82	Facility		$55.00	$2,212.44	$16,739.82
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $223.47 / $735.86 / $735.86	Facility	AS	$223.47	$735.86	$735.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,567.36 / $3,483.62 / $4,230.80	Facility		$1,567.36	$3,483.62	$4,230.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,465.27 / $3,059.15 / $3,333.25	Facility		$2,465.27	$3,059.15	$3,333.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,212.44 / $2,212.44 / $2,221.02	Facility		$2,212.44	$2,212.44	$2,221.02
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