Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,780.39 / $5,761.19 / $20,680.40	Facility		$2,780.39	$5,761.19	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,065.90 / $31,503.72	Facility		$55.00	$3,065.90	$31,503.72
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $314.67 / $1,054.68 / $1,054.68	Facility	AS	$314.67	$1,054.68	$1,054.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,717.89 / $4,577.68 / $5,778.72	Facility		$2,717.89	$4,577.68	$5,778.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,298.19 / $4,321.43 / $4,649.13	Facility		$3,298.19	$4,321.43	$4,649.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,065.90 / $3,065.90 / $3,171.12	Facility		$3,065.90	$3,065.90	$3,171.12
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