Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,108.48 / $4,500.00 / $20,680.40	Facility		$2,108.48	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,134.08 / $29,005.44	Facility		$55.00	$2,134.08	$29,005.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,932.84 / $3,323.40 / $4,209.71	Facility		$1,932.84	$3,323.40	$4,209.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,332.61 / $2,998.89 / $3,187.16	Facility		$2,332.61	$2,998.89	$3,187.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.08 / $2,134.08 / $2,157.50	Facility		$2,134.08	$2,134.08	$2,157.50
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