Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,514.85 / $5,116.62 / $20,680.40	Facility		$2,514.85	$5,116.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,430.80 / $16,871.84	Facility		$55.00	$2,430.80	$16,871.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,238.28 / $3,707.62 / $4,643.75	Facility		$2,238.28	$3,707.62	$4,643.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,588.67 / $3,494.72 / $3,636.64	Facility		$2,588.67	$3,494.72	$3,636.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,430.80 / $2,430.80 / $2,471.00	Facility		$2,430.80	$2,430.80	$2,471.00
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