Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.73 / $2,920.79 / $20,680.40	Facility		$1,292.73	$2,920.79	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,411.10 / $12,128.60	Facility		$55.00	$1,411.10	$12,128.60
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $145.66 / $487.00 / $487.00	Facility	AS	$145.66	$487.00	$487.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,254.19 / $2,083.42 / $2,630.05	Facility		$1,254.19	$2,083.42	$2,630.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,477.73 / $2,008.41 / $2,138.64	Facility		$1,477.73	$2,008.41	$2,138.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,411.10 / $1,411.10 / $1,458.74	Facility		$1,411.10	$1,411.10	$1,458.74
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