Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.00 / $2,145.11 / $20,680.40	Facility		$1,006.00	$2,145.11	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,011.55 / $11,234.86	Facility		$55.00	$1,011.55	$11,234.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $921.48 / $1,580.50 / $2,003.18	Facility		$921.48	$1,580.50	$2,003.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,103.49 / $1,431.06 / $1,509.60	Facility		$1,103.49	$1,431.06	$1,509.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,011.55 / $1,011.55 / $1,026.88	Facility		$1,011.55	$1,011.55	$1,026.88
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