Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.70 / $4,500.00 / $22,024.00	Facility		$941.70	$4,500.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,001.58 / $9,293.45	Facility		$55.00	$1,001.58	$9,293.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $906.51 / $1,580.64 / $1,943.76	Facility		$906.51	$1,580.64	$1,943.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $965.78 / $1,394.28 / $1,480.70	Facility		$965.78	$1,394.28	$1,480.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,001.58 / $1,001.58 / $1,004.94	Facility		$1,001.58	$1,001.58	$1,004.94
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