Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,349.94 / $9,315.92	Facility		$55.00	$1,349.94	$9,315.92
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $139.83 / $459.14 / $459.14	Facility	AS	$139.83	$459.14	$459.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,162.76 / $2,022.73 / $2,500.62	Facility		$1,162.76	$2,022.73	$2,500.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,417.08 / $1,857.24 / $2,024.74	Facility		$1,417.08	$1,857.24	$2,024.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,349.94 / $1,349.94 / $1,381.05	Facility		$1,349.94	$1,349.94	$1,381.05
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