Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,444.77 / $7,920.26 / $20,680.40	Facility		$4,444.77	$7,920.26	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,797.72 / $64,763.84	Facility		$55.00	$4,797.72	$64,763.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,370.01 / $7,475.32 / $9,126.37	Facility		$3,370.01	$7,475.32	$9,126.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,158.60 / $6,675.64 / $7,153.60	Facility		$5,158.60	$6,675.64	$7,153.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,797.72 / $4,797.72 / $4,827.29	Facility		$4,797.72	$4,797.72	$4,827.29
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