Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.89 / $3,320.46 / $20,680.40	Facility		$1,533.89	$3,320.46	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,550.62 / $21,561.44	Facility		$55.00	$1,550.62	$21,561.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,399.67 / $2,367.31 / $2,903.88	Facility		$1,399.67	$2,367.31	$2,903.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.90 / $2,248.52 / $2,345.67	Facility		$1,659.90	$2,248.52	$2,345.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,550.62 / $1,550.62 / $1,599.96	Facility		$1,550.62	$1,550.62	$1,599.96
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