Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.82 / $3,203.47 / $27,982.24	Facility		$1,411.82	$3,203.47	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,537.48 / $13,271.20	Facility		$55.00	$1,537.48	$13,271.20
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $159.30 / $531.50 / $531.50	Facility	AS	$159.30	$531.50	$531.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,373.50 / $2,277.33 / $2,874.83	Facility		$1,373.50	$2,277.33	$2,874.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $2,196.16 / $2,336.96	Facility		$1,634.00	$2,196.16	$2,336.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,537.48 / $1,537.48 / $1,594.02	Facility		$1,537.48	$1,537.48	$1,594.02
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