Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,713.36 / $3,611.19 / $20,680.40	Facility		$1,713.36	$3,611.19	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,848.69 / $24,987.84	Facility		$55.00	$1,848.69	$24,987.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,308.20 / $2,907.97 / $3,531.68	Facility		$1,308.20	$2,907.97	$3,531.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,989.84 / $2,573.44 / $2,775.08	Facility		$1,989.84	$2,573.44	$2,775.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,848.69 / $1,848.69 / $1,863.19	Facility		$1,848.69	$1,848.69	$1,863.19
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