Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.22 / $4,029.08 / $20,680.40	Facility		$1,887.22	$4,029.08	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,910.75 / $26,014.88	Facility		$55.00	$1,910.75	$26,014.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,727.88 / $2,970.32 / $3,607.40	Facility		$1,727.88	$2,970.32	$3,607.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,125.98 / $2,693.87 / $2,851.24	Facility		$2,125.98	$2,693.87	$2,851.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,910.75 / $1,910.75 / $1,934.94	Facility		$1,910.75	$1,910.75	$1,934.94
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