Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.69 / $2,497.78 / $20,680.40	Facility		$1,146.69	$2,497.78	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,199.08 / $13,336.70	Facility		$55.00	$1,199.08	$13,336.70
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $123.53 / $406.46 / $406.46	Facility	AS	$123.53	$406.46	$406.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,082.64 / $1,834.05 / $2,246.15	Facility		$1,082.64	$1,834.05	$2,246.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.59 / $1,706.17 / $1,786.89	Facility		$1,318.59	$1,706.17	$1,786.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,199.08 / $1,199.08 / $1,218.82	Facility		$1,199.08	$1,199.08	$1,218.82
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