Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,377.46 / $6,963.67 / $20,680.40	Facility		$3,377.46	$6,963.67	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,725.02 / $38,277.36	Facility		$55.00	$3,725.02	$38,277.36
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $382.03 / $1,279.93 / $1,279.93	Facility	AS	$382.03	$1,279.93	$1,279.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,293.12 / $5,517.92 / $6,965.63	Facility		$3,293.12	$5,517.92	$6,965.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,970.96 / $5,248.60 / $5,646.09	Facility		$3,970.96	$5,248.60	$5,646.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,725.02 / $3,725.02 / $3,851.14	Facility		$3,725.02	$3,725.02	$3,851.14
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