Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.64 / $2,126.51 / $20,680.40	Facility		$963.64	$2,126.51	$20,680.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $481.82 / $822.00 / $1,063.26	Facility	52	$481.82	$822.00	$1,063.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,037.84 / $9,102.00 / $11,500.00	Facility		$1,037.84	$9,102.00	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $841.61 / $2,767.26 / $2,767.26	Facility	52	$841.61	$2,767.26	$2,767.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $899.54 / $1,510.08 / $1,906.28	Facility		$899.54	$1,510.08	$1,906.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,068.20 / $1,454.40 / $1,521.57	Facility		$1,068.20	$1,454.40	$1,521.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,016.08 / $1,016.08 / $1,037.84	Facility		$1,016.08	$1,016.08	$1,037.84
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