Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $3,450.01 / $18,711.00	Facility		$1,733.00	$3,450.01	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $12,371.84	Facility		$55.00	$10,160.00	$12,371.84
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $186.45 / $603.26 / $603.26	Facility	AS	$186.45	$603.26	$603.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,578.50 / $2,805.75 / $3,407.53	Facility		$1,578.50	$2,805.75	$3,407.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,888.46 / $2,585.30 / $2,653.87	Facility		$1,888.46	$2,585.30	$2,653.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,763.98 / $1,763.98 / $1,810.18	Facility		$1,763.98	$1,763.98	$1,810.18
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