Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,665.12 / $5,116.62 / $18,800.00	Facility		$1,665.12	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,219.93 / $8,463.20	Facility		$55.00	$1,219.93	$8,463.20
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $126.28 / $411.15 / $411.15	Facility	AS	$126.28	$411.15	$411.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,066.94 / $1,822.65 / $2,213.57	Facility		$1,066.94	$1,822.65	$2,213.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,254.90 / $1,701.80 / $1,823.74	Facility		$1,254.90	$1,701.80	$1,823.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,219.93 / $1,219.93 / $1,243.95	Facility		$1,219.93	$1,219.93	$1,243.95
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