Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.48 / $1,344.84 / $20,680.40	Facility		$588.48	$1,344.84	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $633.75 / $5,872.24	Facility		$55.00	$633.75	$5,872.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $446.09 / $967.39 / $1,133.93	Facility		$446.09	$967.39	$1,133.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $686.49 / $883.14 / $944.52	Facility		$686.49	$883.14	$944.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $633.75 / $633.75 / $636.14	Facility		$633.75	$633.75	$636.14
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