Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,525.65 / $5,234.22 / $20,680.40	Facility		$2,525.65	$5,234.22	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,778.25 / $26,241.71	Facility		$55.00	$2,778.25	$26,241.71
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $285.55 / $956.73 / $956.73	Facility	AS	$285.55	$956.73	$956.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,468.19 / $4,146.63 / $5,234.57	Facility		$2,468.19	$4,146.63	$5,234.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,944.31 / $3,923.71 / $4,223.01	Facility		$2,944.31	$3,923.71	$4,223.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,778.25 / $2,778.25 / $2,880.47	Facility		$2,778.25	$2,778.25	$2,880.47
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