Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,110.41 / $6,432.49 / $20,680.40	Facility		$3,110.41	$6,432.49	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,434.65 / $35,236.08	Facility		$55.00	$3,434.65	$35,236.08
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $351.99 / $1,179.57 / $1,179.57	Facility	AS	$351.99	$1,179.57	$1,179.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,039.33 / $5,105.70 / $6,445.26	Facility		$3,039.33	$5,105.70	$6,445.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,672.06 / $4,833.54 / $5,199.20	Facility		$3,672.06	$4,833.54	$5,199.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.65 / $3,434.65 / $3,546.32	Facility		$3,434.65	$3,434.65	$3,546.32
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