Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.73 / $2,505.07 / $20,680.40	Facility		$1,146.73	$2,505.07	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,143.41 / $7,819.36	Facility		$55.00	$1,143.41	$7,819.36
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $117.72 / $381.03 / $381.03	Facility	AS	$117.72	$381.03	$381.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,030.33 / $1,829.90 / $2,222.38	Facility		$1,030.33	$1,829.90	$2,222.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,239.50 / $1,634.73 / $1,731.96	Facility		$1,239.50	$1,634.73	$1,731.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,143.41 / $1,143.41 / $1,155.59	Facility		$1,143.41	$1,143.41	$1,155.59
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