Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,283.57 / $7,920.26 / $20,680.40	Facility		$4,283.57	$7,920.26	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,346.99 / $77,659.05	Facility		$55.00	$4,346.99	$77,659.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,669.48 / $5,952.16 / $8,274.04	Facility		$3,669.48	$5,952.16	$8,274.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,336.14 / $6,117.32 / $6,499.44	Facility		$4,336.14	$6,117.32	$6,499.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,346.99 / $4,346.99 / $4,405.47	Facility		$4,346.99	$4,346.99	$4,405.47
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