Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.88 / $3,460.87 / $20,680.40	Facility		$1,538.88	$3,460.87	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,606.34 / $11,216.96	Facility		$55.00	$1,606.34	$11,216.96
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $168.66 / $550.73 / $550.73	Facility	AS	$168.66	$550.73	$550.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,429.26 / $2,452.86 / $3,085.27	Facility		$1,429.26	$2,452.86	$3,085.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,711.25 / $2,303.64 / $2,422.71	Facility		$1,711.25	$2,303.64	$2,422.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,606.34 / $1,606.34 / $1,652.51	Facility		$1,606.34	$1,606.34	$1,652.51
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