Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,869.19 / $4,332.39 / $20,680.40	Facility		$1,869.19	$4,332.39	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,038.50 / $21,130.56	Facility		$55.00	$2,038.50	$21,130.56
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,318.20 / $4,359.80 / $4,359.80	Facility	62	$1,318.20	$4,359.80	$4,359.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,854.02 / $3,064.81 / $3,868.91	Facility		$1,854.02	$3,064.81	$3,868.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,253.02 / $2,912.87 / $3,078.65	Facility		$2,253.02	$2,912.87	$3,078.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,038.50 / $2,038.50 / $2,099.92	Facility		$2,038.50	$2,038.50	$2,099.92
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