Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.30 / $3,507.15 / $20,680.40	Facility		$1,725.30	$3,507.15	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,830.57 / $11,933.00 / $25,005.92	Facility		$1,830.57	$11,933.00	$25,005.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,286.19 / $2,845.62 / $3,455.96	Facility		$1,286.19	$2,845.62	$3,455.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,947.26 / $2,585.64 / $2,726.12	Facility		$1,947.26	$2,585.64	$2,726.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.57 / $1,830.57 / $1,857.71	Facility		$1,830.57	$1,830.57	$1,857.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,342.50 / $5,307.50 / $9,650.00	Facility		$4,342.50	$5,307.50	$9,650.00