Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,000.94 / $4,276.93 / $20,680.40	Facility		$2,000.94	$4,276.93	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,025.36 / $27,606.88	Facility		$55.00	$2,025.36	$27,606.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,836.66 / $3,069.28 / $3,831.05	Facility		$1,836.66	$3,069.28	$3,831.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.61 / $2,857.47 / $3,027.36	Facility		$2,137.61	$2,857.47	$3,027.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,025.36 / $2,025.36 / $2,052.84	Facility		$2,025.36	$2,025.36	$2,052.84
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