Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,440.70 / $2,872.23 / $20,680.40	Facility		$1,440.70	$2,872.23	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,511.66 / $16,876.21	Facility		$55.00	$1,511.66	$16,876.21
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.53 / $513.94 / $513.94	Facility	AS	$156.53	$513.94	$513.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.47 / $2,359.15 / $2,865.14	Facility		$1,380.47	$2,359.15	$2,865.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,620.43 / $2,160.03 / $2,258.57	Facility		$1,620.43	$2,160.03	$2,258.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,511.66 / $1,511.66 / $1,540.55	Facility		$1,511.66	$1,511.66	$1,540.55
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