Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.79 / $2,668.39 / $20,680.40	Facility		$1,290.79	$2,668.39	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,404.30 / $13,231.24	Facility		$55.00	$1,404.30	$13,231.24
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $897.21 / $2,988.85 / $2,988.85	Facility	62	$897.21	$2,988.85	$2,988.85
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $143.55 / $478.22 / $478.22	Facility	AS	$143.55	$478.22	$478.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,271.82 / $2,092.50 / $2,641.50	Facility		$1,271.82	$2,092.50	$2,641.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,506.26 / $1,982.64 / $2,114.52	Facility		$1,506.26	$1,982.64	$2,114.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,404.30 / $1,404.30 / $1,442.29	Facility		$1,404.30	$1,404.30	$1,442.29
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