Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.61 / $1,739.53 / $18,711.00	Facility		$1,415.61	$1,739.53	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,052.32 / $11,737.70	Facility		$55.00	$1,052.32	$11,737.70
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $108.62 / $357.26 / $357.26	Facility	AS	$108.62	$357.26	$357.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.90 / $1,631.25 / $1,981.12	Facility		$954.90	$1,631.25	$1,981.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,120.63 / $1,499.28 / $1,572.49	Facility		$1,120.63	$1,499.28	$1,572.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,052.32 / $1,052.32 / $1,072.58	Facility		$1,052.32	$1,052.32	$1,072.58
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