Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.28 / $1,397.08 / $20,680.40	Facility		$596.28	$1,397.08	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $666.36 / $2,275.28	Facility		$55.00	$666.36	$2,275.28
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $67.75 / $227.53 / $227.53	Facility	AS	$67.75	$227.53	$227.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $590.40 / $1,048.34 / $1,306.20	Facility		$590.40	$1,048.34	$1,306.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $731.12 / $925.87 / $1,005.00	Facility		$731.12	$925.87	$1,005.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.36 / $666.36 / $685.50	Facility		$666.36	$666.36	$685.50
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