Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,331.56 / $5,159.20 / $20,680.40	Facility		$2,331.56	$5,159.20	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,684.93 / $21,068.46	Facility		$55.00	$2,684.93	$21,068.46
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $280.14 / $913.13 / $913.13	Facility	AS	$280.14	$913.13	$913.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,369.80 / $4,060.84 / $5,126.27	Facility		$2,369.80	$4,060.84	$5,126.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,842.56 / $3,859.87 / $4,038.76	Facility		$2,842.56	$3,859.87	$4,038.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,684.93 / $2,684.93 / $2,754.80	Facility		$2,684.93	$2,684.93	$2,754.80
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