Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.52 / $2,887.30 / $20,680.40	Facility		$1,387.52	$2,887.30	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,485.39 / $20,228.96	Facility		$55.00	$1,485.39	$20,228.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,049.97 / $2,335.94 / $2,836.97	Facility		$1,049.97	$2,335.94	$2,836.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,639.16 / $2,093.15 / $2,219.52	Facility		$1,639.16	$2,093.15	$2,219.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,485.39 / $1,485.39 / $1,504.44	Facility		$1,485.39	$1,485.39	$1,504.44
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