Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,428.26 / $5,048.09 / $20,680.40	Facility		$2,428.26	$5,048.09	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,670.44 / $25,216.62	Facility		$55.00	$2,670.44	$25,216.62
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $274.67 / $919.95 / $919.95	Facility	AS	$274.67	$919.95	$919.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,373.08 / $3,977.14 / $5,020.60	Facility		$2,373.08	$3,977.14	$5,020.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,818.34 / $3,776.88 / $4,054.84	Facility		$2,818.34	$3,776.88	$4,054.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.44 / $2,670.44 / $2,765.76	Facility		$2,670.44	$2,670.44	$2,765.76
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