Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.84 / $2,804.02 / $20,680.40	Facility		$1,336.84	$2,804.02	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,440.09 / $10,934.28	Facility		$55.00	$1,440.09	$10,934.28
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $146.01 / $480.79 / $480.79	Facility	AS	$146.01	$480.79	$480.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,020.52 / $2,263.44 / $2,748.92	Facility		$1,020.52	$2,263.44	$2,748.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,568.31 / $2,002.31 / $2,160.75	Facility		$1,568.31	$2,002.31	$2,160.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,440.09 / $1,440.09 / $1,449.15	Facility		$1,440.09	$1,440.09	$1,449.15
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