Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.54 / $2,179.77 / $20,680.40	Facility		$1,061.54	$2,179.77	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,059.57 / $14,556.48	Facility		$55.00	$1,059.57	$14,556.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $938.77 / $1,571.01 / $1,947.66	Facility		$938.77	$1,571.01	$1,947.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,102.50 / $1,496.37 / $1,581.87	Facility		$1,102.50	$1,496.37	$1,581.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,059.57 / $1,059.57 / $1,078.98	Facility		$1,059.57	$1,059.57	$1,078.98
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