Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,271.53 / $9,305.92 / $23,000.00	Facility		$2,271.53	$9,305.92	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,464.60 / $22,711.70	Facility		$55.00	$2,464.60	$22,711.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,239.13 / $3,904.24 / $4,801.16	Facility		$2,239.13	$3,904.24	$4,801.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,304.06 / $3,302.15 / $3,615.99	Facility		$2,304.06	$3,302.15	$3,615.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,453.00 / $2,453.00 / $2,464.60	Facility		$2,453.00	$2,453.00	$2,464.60
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