Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,850.31 / $4,211.38 / $20,680.40	Facility		$1,850.31	$4,211.38	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,029.44 / $20,934.00	Facility		$55.00	$2,029.44	$20,934.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $209.03 / $699.84 / $699.84	Facility	AS	$209.03	$699.84	$699.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,800.31 / $3,015.99 / $3,807.28	Facility		$1,800.31	$3,015.99	$3,807.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,163.84 / $2,877.90 / $3,082.67	Facility		$2,163.84	$2,877.90	$3,082.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,029.44 / $2,029.44 / $2,102.66	Facility		$2,029.44	$2,029.44	$2,102.66
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