Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,242.32 / $3,879.21 / $22,024.00	Facility		$2,242.32	$3,879.21	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,598.86 / $15,825.95	Facility		$55.00	$2,598.86	$15,825.95
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $270.51 / $881.80 / $881.80	Facility	AS	$270.51	$881.80	$881.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,262.05 / $3,864.25 / $4,766.62	Facility		$2,262.05	$3,864.25	$4,766.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,557.69 / $3,678.97 / $3,900.07	Facility		$2,557.69	$3,678.97	$3,900.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,598.86 / $2,598.86 / $2,660.20	Facility		$2,598.86	$2,598.86	$2,660.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00