Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,851.12 / $5,481.90 / $20,680.40	Facility		$2,851.12	$5,481.90	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,767.83 / $16,832.06	Facility		$55.00	$2,767.83	$16,832.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,527.71 / $4,154.31 / $5,244.25	Facility		$2,527.71	$4,154.31	$5,244.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,927.83 / $3,968.41 / $4,131.22	Facility		$2,927.83	$3,968.41	$4,131.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,767.83 / $2,767.83 / $2,817.86	Facility		$2,767.83	$2,767.83	$2,817.86
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