Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.01 / $2,135.53 / $20,680.40	Facility		$1,031.01	$2,135.53	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,107.13 / $15,000.32	Facility		$55.00	$1,107.13	$15,000.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $776.86 / $1,784.96 / $2,049.32	Facility		$776.86	$1,784.96	$2,049.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,176.36 / $1,544.48 / $1,638.82	Facility		$1,176.36	$1,544.48	$1,638.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,107.13 / $1,107.13 / $1,117.82	Facility		$1,107.13	$1,107.13	$1,117.82
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