Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.62 / $2,827.61 / $20,680.40	Facility		$1,335.62	$2,827.61	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,348.13 / $15,116.14	Facility		$55.00	$1,348.13	$15,116.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,215.90 / $2,048.31 / $2,522.63	Facility		$1,215.90	$2,048.31	$2,522.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,459.26 / $1,929.70 / $2,024.74	Facility		$1,459.26	$1,929.70	$2,024.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.13 / $1,348.13 / $1,381.05	Facility		$1,348.13	$1,348.13	$1,381.05
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