Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,773.76 / $5,629.55 / $20,680.40	Facility		$2,773.76	$5,629.55	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,885.61 / $22,741.74	Facility		$55.00	$2,885.61	$22,741.74
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,904.32 / $6,161.22 / $6,161.22	Facility	62	$1,904.32	$6,161.22	$6,161.22
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $304.69 / $985.80 / $985.80	Facility	AS	$304.69	$985.80	$985.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,573.98 / $4,582.00 / $5,564.76	Facility		$2,573.98	$4,582.00	$5,564.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,085.04 / $4,166.06 / $4,336.91	Facility		$3,085.04	$4,166.06	$4,336.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,885.61 / $2,885.61 / $2,958.16	Facility		$2,885.61	$2,885.61	$2,958.16
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