Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.40 / $1,468.92 / $20,680.40	Facility		$646.40	$1,468.92	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $694.00 / $9,398.40	Facility		$55.00	$694.00	$9,398.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $487.01 / $1,120.09 / $1,339.95	Facility		$487.01	$1,120.09	$1,339.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $737.89 / $973.16 / $1,026.44	Facility		$737.89	$973.16	$1,026.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $694.00 / $700.12	Facility		$694.00	$694.00	$700.12
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