Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,470.00 / $10,357.20 / $20,680.40	Facility		$6,470.00	$10,357.20	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,381.46 / $192,324.31	Facility		$55.00	$7,381.46	$192,324.31
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $4,669.72 / $15,385.09 / $15,385.09	Facility	62	$4,669.72	$15,385.09	$15,385.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,036.88 / $9,551.33 / $13,459.32	Facility		$5,036.88	$9,551.33	$13,459.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,636.16 / $10,306.01 / $10,821.84	Facility		$7,636.16	$10,306.01	$10,821.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,247.09 / $7,247.09 / $7,381.46	Facility		$7,247.09	$7,247.09	$7,381.46
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00