Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.69 / $4,500.00 / $20,680.40	Facility		$1,961.69	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,115.51 / $21,771.12	Facility		$55.00	$2,115.51	$21,771.12
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,346.93 / $4,433.60 / $4,433.60	Facility	62	$1,346.93	$4,433.60	$4,433.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,942.08 / $3,397.52 / $4,288.91	Facility		$1,942.08	$3,397.52	$4,288.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,448.07 / $2,987.20 / $3,175.60	Facility		$2,448.07	$2,987.20	$3,175.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,115.51 / $2,115.51 / $2,152.46	Facility		$2,115.51	$2,115.51	$2,152.46
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