Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.50 / $2,881.97 / $20,680.40	Facility		$1,374.50	$2,881.97	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,475.87 / $13,745.16	Facility		$55.00	$1,475.87	$13,745.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.49 / $2,331.60 / $2,831.68	Facility		$1,047.49	$2,331.60	$2,831.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,730.19 / $2,052.06 / $2,209.66	Facility		$1,730.19	$2,052.06	$2,209.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,475.87 / $1,475.87 / $1,488.91	Facility		$1,475.87	$1,475.87	$1,488.91
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