Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,384.40 / $4,809.10 / $20,680.40	Facility		$2,384.40	$4,809.10	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,549.94 / $45,466.89	Facility		$55.00	$2,549.94	$45,466.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,782.19 / $3,402.68 / $4,811.05	Facility		$1,782.19	$3,402.68	$4,811.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,567.25 / $3,568.73 / $3,803.24	Facility		$2,567.25	$3,568.73	$3,803.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,549.94 / $2,549.94 / $2,577.48	Facility		$2,549.94	$2,549.94	$2,577.48
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