Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,606.32 / $3,347.76 / $20,680.40	Facility		$1,606.32	$3,347.76	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,726.38 / $30,719.22	Facility		$55.00	$1,726.38	$30,719.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,218.60 / $2,465.42 / $3,300.11	Facility		$1,218.60	$2,465.42	$3,300.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,847.88 / $2,417.94 / $2,595.58	Facility		$1,847.88	$2,417.94	$2,595.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,726.38 / $1,726.38 / $1,743.91	Facility		$1,726.38	$1,726.38	$1,743.91
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