Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.96 / $3,421.95 / $20,680.40	Facility		$1,624.96	$3,421.95	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,759.91 / $13,344.03	Facility		$55.00	$1,759.91	$13,344.03
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $178.27 / $587.05 / $587.05	Facility	AS	$178.27	$587.05	$587.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,245.27 / $2,765.15 / $3,358.22	Facility		$1,245.27	$2,765.15	$3,358.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,933.54 / $2,441.50 / $2,641.80	Facility		$1,933.54	$2,441.50	$2,641.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.91 / $1,759.91 / $1,769.96	Facility		$1,759.91	$1,759.91	$1,769.96
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