Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,526.01 / $5,252.53 / $27,982.24	Facility		$2,526.01	$5,252.53	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,785.50 / $26,216.52	Facility		$55.00	$2,785.50	$26,216.52
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $285.52 / $956.73 / $956.73	Facility	AS	$285.52	$956.73	$956.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,478.86 / $4,169.64 / $5,263.62	Facility		$2,478.86	$4,169.64	$5,263.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,994.43 / $3,920.75 / $4,220.33	Facility		$2,994.43	$3,920.75	$4,220.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.50 / $2,785.50 / $2,878.64	Facility		$2,785.50	$2,785.50	$2,878.64
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