Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,043.81 / $6,155.28 / $20,680.40	Facility		$3,043.81	$6,155.28	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,246.65 / $44,081.12	Facility		$55.00	$3,246.65	$44,081.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,285.01 / $4,886.68 / $6,168.78	Facility		$2,285.01	$4,886.68	$6,168.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,445.76 / $4,563.52 / $4,858.60	Facility		$3,445.76	$4,563.52	$4,858.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,246.65 / $3,246.65 / $3,281.26	Facility		$3,246.65	$3,246.65	$3,281.26
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