Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,676.26 / $3,534.52 / $20,680.40	Facility		$1,676.26	$3,534.52	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,813.81 / $16,807.45	Facility		$55.00	$1,813.81	$16,807.45
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $184.12 / $606.29 / $606.29	Facility	AS	$184.12	$606.29	$606.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,280.30 / $2,855.77 / $3,468.28	Facility		$1,280.30	$2,855.77	$3,468.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,022.06 / $2,522.21 / $2,722.72	Facility		$2,022.06	$2,522.21	$2,722.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,813.81 / $1,813.81 / $1,823.89	Facility		$1,813.81	$1,813.81	$1,823.89
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