Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,497.51 / $5,039.29 / $20,680.40	Facility		$2,497.51	$5,039.29	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,661.38 / $36,198.08	Facility		$55.00	$2,661.38	$36,198.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,868.99 / $3,315.95 / $5,039.97	Facility		$1,868.99	$3,315.95	$5,039.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,309.01 / $3,743.24 / $3,973.92	Facility		$2,309.01	$3,743.24	$3,973.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,661.38 / $2,661.38 / $2,692.64	Facility		$2,661.38	$2,661.38	$2,692.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00