Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,054.71 / $4,234.10 / $20,680.40	Facility		$2,054.71	$4,234.10	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,189.35 / $29,784.16	Facility		$55.00	$2,189.35	$29,784.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,545.35 / $3,434.32 / $4,320.25	Facility		$1,545.35	$3,434.32	$4,320.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,392.30 / $3,074.70 / $3,275.56	Facility		$2,392.30	$3,074.70	$3,275.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,189.35 / $2,189.35 / $2,218.28	Facility		$2,189.35	$2,189.35	$2,218.28
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