Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.57 / $2,479.00 / $20,680.40	Facility		$1,175.57	$2,479.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,278.82 / $11,863.72	Facility		$55.00	$1,278.82	$11,863.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $907.68 / $2,020.57 / $2,453.94	Facility		$907.68	$2,020.57	$2,453.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,493.01 / $1,774.20 / $1,919.64	Facility		$1,493.01	$1,774.20	$1,919.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,278.82 / $1,278.82 / $1,285.54	Facility		$1,278.82	$1,278.82	$1,285.54
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