Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.82 / $3,153.67 / $20,680.40	Facility		$1,390.82	$3,153.67	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,498.52 / $16,713.06	Facility		$55.00	$1,498.52	$16,713.06
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $154.78 / $509.10 / $509.10	Facility	AS	$154.78	$509.10	$509.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,356.28 / $2,321.44 / $2,819.36	Facility		$1,356.28	$2,321.44	$2,819.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,596.42 / $2,134.40 / $2,239.81	Facility		$1,596.42	$2,134.40	$2,239.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,498.52 / $1,498.52 / $1,527.75	Facility		$1,498.52	$1,498.52	$1,527.75
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