Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,091.97 / $6,142.11 / $20,680.40	Facility		$3,091.97	$6,142.11	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,271.11 / $30,932.44	Facility		$55.00	$3,271.11	$30,932.44
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,115.96 / $6,964.51 / $6,964.51	Facility	62	$2,115.96	$6,964.51	$6,964.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $338.55 / $1,114.32 / $1,114.32	Facility	AS	$338.55	$1,114.32	$1,114.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,942.36 / $4,873.89 / $6,104.50	Facility		$2,942.36	$4,873.89	$6,104.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,391.50 / $4,599.55 / $4,898.37	Facility		$3,391.50	$4,599.55	$4,898.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,271.11 / $3,271.11 / $3,341.13	Facility		$3,271.11	$3,271.11	$3,341.13
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