Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $18,800.00	Facility		$1,733.00	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,618.57 / $5,897.00 / $8,545.74	Facility		$1,618.57	$5,897.00	$8,545.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,476.91 / $2,472.05 / $3,064.14	Facility		$1,476.91	$2,472.05	$3,064.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,741.95 / $2,341.65 / $2,460.91	Facility		$1,741.95	$2,341.65	$2,460.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,618.57 / $1,618.57 / $1,678.56	Facility		$1,618.57	$1,618.57	$1,678.56
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