Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,157.14 / $7,920.26 / $20,680.40	Facility		$4,157.14	$7,920.26	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,508.71 / $46,223.52	Facility		$55.00	$4,508.71	$46,223.52
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,856.52 / $9,516.21 / $9,516.21	Facility	62	$2,856.52	$9,516.21	$9,516.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,993.81 / $6,638.10 / $8,379.70	Facility		$3,993.81	$6,638.10	$8,379.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,769.66 / $6,303.20 / $6,777.05	Facility		$4,769.66	$6,303.20	$6,777.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,508.71 / $4,508.71 / $4,622.56	Facility		$4,508.71	$4,508.71	$4,622.56
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