Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.07 / $3,894.69 / $20,680.40	Facility		$1,587.07	$3,894.69	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,824.23 / $14,343.39	Facility		$55.00	$1,824.23	$14,343.39
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $190.65 / $621.57 / $621.57	Facility	AS	$190.65	$621.57	$621.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,617.86 / $2,760.67 / $3,479.73	Facility		$1,617.86	$2,760.67	$3,479.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,929.76 / $2,623.05 / $2,749.01	Facility		$1,929.76	$2,623.05	$2,749.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,824.23 / $1,824.23 / $1,875.07	Facility		$1,824.23	$1,824.23	$1,875.07
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