Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,589.92 / $3,266.66 / $20,680.40	Facility		$1,589.92	$3,266.66	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,714.15 / $13,009.05	Facility		$55.00	$1,714.15	$13,009.05
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $173.13 / $570.10 / $570.10	Facility	AS	$173.13	$570.10	$570.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,195.05 / $2,640.45 / $3,206.78	Facility		$1,195.05	$2,640.45	$3,206.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,842.40 / $2,376.34 / $2,547.28	Facility		$1,842.40	$2,376.34	$2,547.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,714.15 / $1,714.15 / $1,723.35	Facility		$1,714.15	$1,714.15	$1,723.35
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