Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,050.80 / $4,238.00 / $22,024.00	Facility		$2,050.80	$4,238.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,216.98 / $16,823.07	Facility		$55.00	$2,216.98	$16,823.07
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $224.72 / $740.11 / $740.11	Facility	AS	$224.72	$740.11	$740.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,572.32 / $3,492.32 / $4,241.35	Facility		$1,572.32	$3,492.32	$4,241.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,506.98 / $3,076.73 / $3,327.92	Facility		$2,506.98	$3,076.73	$3,327.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,216.98 / $2,216.98 / $2,231.98	Facility		$2,216.98	$2,216.98	$2,231.98
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