Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,946.53 / $4,112.68 / $20,680.40	Facility		$1,946.53	$4,112.68	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,965.57 / $26,958.72	Facility		$55.00	$1,965.57	$26,958.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,769.97 / $3,006.12 / $3,687.53	Facility		$1,769.97	$3,006.12	$3,687.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,051.86 / $2,802.00 / $2,935.27	Facility		$2,051.86	$2,802.00	$2,935.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,965.57 / $1,965.57 / $2,002.12	Facility		$1,965.57	$1,965.57	$2,002.12
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