Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,727.87 / $3,962.34 / $20,680.40	Facility		$1,727.87	$3,962.34	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,891.73 / $19,717.20	Facility		$55.00	$1,891.73	$19,717.20
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.43 / $649.88 / $649.88	Facility	AS	$194.43	$649.88	$649.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,695.35 / $2,828.36 / $3,570.42	Facility		$1,695.35	$2,828.36	$3,570.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,029.09 / $2,675.63 / $2,905.12	Facility		$2,029.09	$2,675.63	$2,905.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,891.73 / $1,891.73 / $1,981.55	Facility		$1,891.73	$1,891.73	$1,981.55
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