Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.99 / $1,825.00 / $20,680.40	Facility		$884.99	$1,825.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $943.60 / $7,255.44	Facility		$55.00	$943.60	$7,255.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $667.12 / $1,473.92 / $1,790.05	Facility		$667.12	$1,473.92	$1,790.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,036.66 / $1,332.22 / $1,402.98	Facility		$1,036.66	$1,332.22	$1,402.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $943.60 / $943.60 / $956.96	Facility		$943.60	$943.60	$956.96
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