Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.98 / $9,305.92 / $23,000.00	Facility		$1,528.98	$9,305.92	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,650.23 / $15,224.66	Facility		$55.00	$1,650.23	$15,224.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,498.98 / $2,613.67 / $3,214.12	Facility		$1,498.98	$2,613.67	$3,214.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,588.84 / $2,285.54 / $2,458.19	Facility		$1,588.84	$2,285.54	$2,458.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.66 / $1,646.66 / $1,650.23	Facility		$1,646.66	$1,646.66	$1,650.23
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