Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.31 / $6,645.42 / $18,711.00	Facility		$1,615.31	$6,645.42	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,753.56 / $18,129.36	Facility		$55.00	$1,753.56	$18,129.36
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $180.52 / $597.35 / $597.35	Facility	AS	$180.52	$597.35	$597.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,599.82 / $2,639.34 / $3,331.81	Facility		$1,599.82	$2,639.34	$3,331.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,891.40 / $2,495.64 / $2,642.48	Facility		$1,891.40	$2,495.64	$2,642.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,753.56 / $1,753.56 / $1,802.41	Facility		$1,753.56	$1,753.56	$1,802.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $6,444.00 / $19,271.00	Facility		$3,028.00	$6,444.00	$19,271.00