Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,577.10 / $3,563.06 / $20,680.40	Facility		$1,577.10	$3,563.06	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,723.21 / $14,848.60	Facility		$55.00	$1,723.21	$14,848.60
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $177.88 / $595.08 / $595.08	Facility	AS	$177.88	$595.08	$595.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,528.07 / $2,550.75 / $3,219.98	Facility		$1,528.07	$2,550.75	$3,219.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,802.82 / $2,452.50 / $2,620.37	Facility		$1,802.82	$2,452.50	$2,620.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.21 / $1,723.21 / $1,787.33	Facility		$1,723.21	$1,723.21	$1,787.33
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