Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.06 / $750.06 / $20,680.40	Facility		$334.06	$750.06	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $357.42 / $2,922.50	Facility		$55.00	$357.42	$2,922.50
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $36.50 / $120.05 / $120.05	Facility	AS	$36.50	$120.05	$120.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $315.29 / $538.05 / $674.46	Facility		$315.29	$538.05	$674.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $375.49 / $501.79 / $530.64	Facility		$375.49	$501.79	$530.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.42 / $357.42 / $361.94	Facility		$357.42	$357.42	$361.94
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00