Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.28 / $3,568.00 / $17,930.00	Facility		$420.28	$3,568.00	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $323.56 / $1,076.31	Facility		$55.00	$323.56	$1,076.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $32.06 / $107.63 / $107.63	Facility	AS	$32.06	$107.63	$107.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $276.75 / $494.45 / $602.47	Facility		$276.75	$494.45	$602.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $349.37 / $438.06 / $474.36	Facility		$349.37	$438.06	$474.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.38 / $314.38 / $323.56	Facility		$314.38	$314.38	$323.56
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00