Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,688.16 / $7,012.21 / $20,680.40	Facility		$3,688.16	$7,012.21	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,726.38 / $57,086.82	Facility		$55.00	$3,726.38	$57,086.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,379.92 / $5,554.89 / $7,012.30	Facility		$3,379.92	$5,554.89	$7,012.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,915.24 / $5,239.77 / $5,536.21	Facility		$3,915.24	$5,239.77	$5,536.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,726.38 / $3,726.38 / $3,776.19	Facility		$3,726.38	$3,726.38	$3,776.19
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