Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.90 / $2,266.46 / $21,606.77	Facility		$1,100.90	$2,266.46	$21,606.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,204.98 / $10,399.90	Facility		$55.00	$1,204.98	$10,399.90
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $124.91 / $417.06 / $417.06	Facility	AS	$124.91	$417.06	$417.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,068.05 / $1,777.92 / $2,244.39	Facility		$1,068.05	$1,777.92	$2,244.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,268.60 / $1,710.51 / $1,830.44	Facility		$1,268.60	$1,710.51	$1,830.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,204.98 / $1,204.98 / $1,248.52	Facility		$1,204.98	$1,204.98	$1,248.52
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