Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.84 / $2,797.72 / $20,680.40	Facility		$1,326.84	$2,797.72	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,429.22 / $10,869.93	Facility		$55.00	$1,429.22	$10,869.93
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $144.35 / $475.34 / $475.34	Facility	AS	$144.35	$475.34	$475.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,016.49 / $2,259.82 / $2,744.51	Facility		$1,016.49	$2,259.82	$2,744.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,598.96 / $1,977.95 / $2,159.41	Facility		$1,598.96	$1,977.95	$2,159.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.22 / $1,429.22 / $1,434.98	Facility		$1,429.22	$1,429.22	$1,434.98
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