Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,502.41 / $5,066.37 / $20,680.40	Facility		$2,502.41	$5,066.37	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,674.51 / $36,371.68	Facility		$55.00	$2,674.51	$36,371.68
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $273.91 / $900.57 / $900.57	Facility	AS	$273.91	$900.57	$900.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,881.08 / $4,021.78 / $5,076.96	Facility		$1,881.08	$4,021.78	$5,076.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,833.84 / $3,765.16 / $3,992.28	Facility		$2,833.84	$3,765.16	$3,992.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,674.51 / $2,674.51 / $2,705.90	Facility		$2,674.51	$2,674.51	$2,705.90
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