Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,072.21 / $4,394.22 / $20,680.40	Facility		$2,072.21	$4,394.22	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,092.41 / $28,513.92	Facility		$55.00	$2,092.41	$28,513.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,890.51 / $3,238.57 / $3,933.19	Facility		$1,890.51	$3,238.57	$3,933.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,228.52 / $2,952.86 / $3,122.56	Facility		$2,228.52	$2,952.86	$3,122.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,092.41 / $2,092.41 / $2,120.48	Facility		$2,092.41	$2,092.41	$2,120.48
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