Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.91 / $3,026.43 / $20,680.40	Facility		$1,441.91	$3,026.43	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,555.60 / $21,076.48	Facility		$55.00	$1,555.60	$21,076.48
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $158.03 / $520.29 / $520.29	Facility	AS	$158.03	$520.29	$520.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,102.05 / $2,447.60 / $2,972.56	Facility		$1,102.05	$2,447.60	$2,972.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,705.20 / $2,165.81 / $2,335.12	Facility		$1,705.20	$2,165.81	$2,335.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,555.60 / $1,555.60 / $1,571.17	Facility		$1,555.60	$1,555.60	$1,571.17
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