Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.56 / $3,026.71 / $20,680.40	Facility		$1,438.56	$3,026.71	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,555.60 / $14,512.08	Facility		$55.00	$1,555.60	$14,512.08
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $158.35 / $521.36 / $521.36	Facility	AS	$158.35	$521.36	$521.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,101.74 / $2,446.87 / $2,971.68	Facility		$1,101.74	$2,446.87	$2,971.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,705.20 / $2,169.85 / $2,338.96	Facility		$1,705.20	$2,169.85	$2,338.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,555.60 / $1,555.60 / $1,574.37	Facility		$1,555.60	$1,555.60	$1,574.37
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