Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.24 / $1,985.08 / $20,680.40	Facility		$971.24	$1,985.08	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,027.40 / $11,933.00 / $14,032.96	Facility		$1,027.40	$11,933.00	$14,032.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $728.50 / $1,611.67 / $1,957.35	Facility		$728.50	$1,611.67	$1,957.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,119.57 / $1,453.07 / $1,534.08	Facility		$1,119.57	$1,453.07	$1,534.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,027.40 / $1,027.40 / $1,042.42	Facility		$1,027.40	$1,027.40	$1,042.42
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