Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.84 / $3,925.18 / $18,711.00	Facility		$1,122.84	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $824.01 / $7,890.52	Facility		$55.00	$824.01	$7,890.52
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $85.57 / $285.66 / $285.66	Facility	AS	$85.57	$285.66	$285.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $726.93 / $1,202.49 / $1,517.98	Facility		$726.93	$1,202.49	$1,517.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $848.36 / $1,160.01 / $1,260.94	Facility		$848.36	$1,160.01	$1,260.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $824.01 / $860.07 / $2,568.11	Facility		$824.01	$860.07	$2,568.11
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00