Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,099.87 / $4,426.24 / $20,680.40	Facility		$2,099.87	$4,426.24	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,265.91 / $30,552.96	Facility		$55.00	$2,265.91	$30,552.96
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,432.70 / $4,716.47 / $4,716.47	Facility	62	$1,432.70	$4,716.47	$4,716.47
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $229.23 / $754.64 / $754.64	Facility	AS	$229.23	$754.64	$754.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,606.42 / $3,579.32 / $4,347.02	Facility		$1,606.42	$3,579.32	$4,347.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,532.10 / $3,139.36 / $3,401.36	Facility		$2,532.10	$3,139.36	$3,401.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,265.91 / $2,265.91 / $2,279.52	Facility		$2,265.91	$2,265.91	$2,279.52
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