Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,462.40 / $5,112.18 / $20,680.40	Facility		$2,462.40	$5,112.18	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,712.11 / $27,825.60	Facility		$55.00	$2,712.11	$27,825.60
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $278.83 / $934.18 / $934.18	Facility	AS	$278.83	$934.18	$934.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,395.21 / $4,031.55 / $5,089.29	Facility		$2,395.21	$4,031.55	$5,089.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,891.98 / $3,831.87 / $4,103.08	Facility		$2,891.98	$3,831.87	$4,103.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,712.11 / $2,712.11 / $2,798.67	Facility		$2,712.11	$2,712.11	$2,798.67
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