Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.55 / $2,266.10 / $20,680.40	Facility		$1,061.55	$2,266.10	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,065.46 / $14,588.16	Facility		$55.00	$1,065.46	$14,588.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $967.68 / $1,666.05 / $2,131.42	Facility		$967.68	$1,666.05	$2,131.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,130.33 / $1,519.07 / $1,595.28	Facility		$1,130.33	$1,519.07	$1,595.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,065.46 / $1,065.46 / $1,084.00	Facility		$1,065.46	$1,065.46	$1,084.00
United Facility/Professional Facility Modifier Low / Median / High Price $774.05 / $1,612.00 / $5,793.00	Facility		$774.05	$1,612.00	$5,793.00