Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.72 / $1,647.27 / $2,219.40	Facility		$1,389.72	$1,647.27	$2,219.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,053.23 / $9,769.98	Facility		$55.00	$1,053.23	$9,769.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $736.25 / $1,648.65 / $2,002.25	Facility		$736.25	$1,648.65	$2,002.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.02 / $1,466.96 / $1,576.51	Facility		$1,174.02	$1,466.96	$1,576.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,053.23 / $1,053.23 / $1,061.15	Facility		$1,053.23	$1,053.23	$1,061.15