Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,492.25 / $6,722.82 / $20,680.40	Facility		$3,492.25	$6,722.82	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,410.64 / $32,595.20	Facility		$55.00	$3,410.64	$32,595.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,112.97 / $5,116.16 / $6,458.46	Facility		$3,112.97	$5,116.16	$6,458.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,610.98 / $4,910.43 / $5,092.00	Facility		$3,610.98	$4,910.43	$5,092.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,410.64 / $3,410.64 / $3,473.20	Facility		$3,410.64	$3,410.64	$3,473.20
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