Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,003.59 / $4,276.55 / $20,680.40	Facility		$2,003.59	$4,276.55	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,020.83 / $27,511.84	Facility		$55.00	$2,020.83	$27,511.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,822.80 / $3,166.07 / $3,996.23	Facility		$1,822.80	$3,166.07	$3,996.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,254.71 / $2,841.36 / $3,033.48	Facility		$2,254.71	$2,841.36	$3,033.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,020.83 / $2,020.83 / $2,047.36	Facility		$2,020.83	$2,020.83	$2,047.36
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