Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,199.80 / $4,500.00 / $20,680.40	Facility		$2,199.80	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,358.32 / $32,056.32	Facility		$55.00	$2,358.32	$32,056.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,665.32 / $3,709.10 / $7,888.59	Facility		$1,665.32	$3,709.10	$7,888.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,663.47 / $3,304.54 / $3,988.20	Facility		$2,663.47	$3,304.54	$3,988.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,358.32 / $2,358.32 / $2,387.37	Facility		$2,358.32	$2,358.32	$2,387.37
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