Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,768.31 / $3,732.66 / $20,680.40	Facility		$1,768.31	$3,732.66	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,911.21 / $14,531.94	Facility		$55.00	$1,911.21	$14,531.94
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.14 / $639.28 / $639.28	Facility	AS	$194.14	$639.28	$639.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,352.53 / $3,016.00 / $3,662.88	Facility		$1,352.53	$3,016.00	$3,662.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,104.06 / $2,659.10 / $2,868.92	Facility		$2,104.06	$2,659.10	$2,868.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,911.21 / $1,911.21 / $1,927.63	Facility		$1,911.21	$1,911.21	$1,927.63
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