Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,069.20 / $8,645.01 / $20,680.40	Facility		$5,069.20	$8,645.01	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,427.85 / $96,797.40	Facility		$55.00	$5,427.85	$96,797.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,817.03 / $8,176.79 / $10,322.10	Facility		$3,817.03	$8,176.79	$10,322.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,768.46 / $7,597.46 / $8,121.24	Facility		$5,768.46	$7,597.46	$8,121.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,427.85 / $5,427.85 / $5,492.23	Facility		$5,427.85	$5,427.85	$5,492.23
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