Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.14 / $4,416.22 / $20,680.40	Facility		$1,925.14	$4,416.22	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,113.69 / $21,765.00	Facility		$55.00	$2,113.69	$21,765.00
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,358.49 / $4,521.58 / $4,521.58	Facility	62	$1,358.49	$4,521.58	$4,521.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,861.81 / $3,150.60 / $3,977.21	Facility		$1,861.81	$3,150.60	$3,977.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,251.55 / $2,994.03 / $3,191.21	Facility		$2,251.55	$2,994.03	$3,191.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,113.69 / $2,113.69 / $2,176.69	Facility		$2,113.69	$2,113.69	$2,176.69
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