Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,548.39 / $8,795.58 / $20,680.40	Facility		$4,548.39	$8,795.58	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,021.51 / $51,283.32	Facility		$55.00	$5,021.51	$51,283.32
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,209.18 / $10,707.40 / $10,707.40	Facility	62	$3,209.18	$10,707.40	$10,707.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,453.01 / $7,479.99 / $9,442.48	Facility		$4,453.01	$7,479.99	$9,442.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,348.88 / $7,055.00 / $7,537.50	Facility		$5,348.88	$7,055.00	$7,537.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,021.51 / $5,021.51 / $5,141.25	Facility		$5,021.51	$5,021.51	$5,141.25
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