Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.12 / $3,135.04 / $20,680.40	Facility		$1,377.12	$3,135.04	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,503.51 / $14,222.23	Facility		$55.00	$1,503.51	$14,222.23
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $964.91 / $3,220.63 / $3,220.63	Facility	62	$964.91	$3,220.63	$3,220.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,350.95 / $2,238.27 / $2,825.52	Facility		$1,350.95	$2,238.27	$2,825.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,593.52 / $2,127.60 / $2,280.01	Facility		$1,593.52	$2,127.60	$2,280.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,503.51 / $1,503.51 / $1,555.17	Facility		$1,503.51	$1,503.51	$1,555.17
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