Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,903.92 / $6,010.59 / $22,024.00	Facility		$2,903.92	$6,010.59	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,204.52 / $32,944.92	Facility		$55.00	$3,204.52	$32,944.92
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $328.67 / $1,101.15 / $1,101.15	Facility	AS	$328.67	$1,101.15	$1,101.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,833.10 / $4,761.83 / $6,011.17	Facility		$2,833.10	$4,761.83	$6,011.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,412.48 / $4,515.75 / $4,859.51	Facility		$3,412.48	$4,515.75	$4,859.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.52 / $3,204.52 / $3,314.62	Facility		$3,204.52	$3,204.52	$3,314.62
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