Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,764.30 / $3,961.92 / $20,680.40	Facility		$1,764.30	$3,961.92	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,773.95 / $21,261.80	Facility		$55.00	$1,773.95	$21,261.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,613.64 / $2,759.35 / $3,351.18	Facility		$1,613.64	$2,759.35	$3,351.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,972.40 / $2,572.13 / $2,727.57	Facility		$1,972.40	$2,572.13	$2,727.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,773.95 / $1,773.95 / $1,806.06	Facility		$1,773.95	$1,773.95	$1,806.06
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