Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.28 / $2,228.07 / $20,680.40	Facility		$1,060.28	$2,228.07	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,062.74 / $14,629.44	Facility		$55.00	$1,062.74	$14,629.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $957.35 / $1,577.04 / $1,990.81	Facility		$957.35	$1,577.04	$1,990.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,121.11 / $1,523.58 / $1,589.91	Facility		$1,121.11	$1,523.58	$1,589.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,062.74 / $1,062.74 / $1,084.46	Facility		$1,062.74	$1,062.74	$1,084.46
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