Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,808.79 / $9,305.92 / $23,000.00	Facility		$2,808.79	$9,305.92	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,055.50 / $28,168.03	Facility		$55.00	$3,055.50	$28,168.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,806.55 / $4,859.43 / $6,017.83	Facility		$2,806.55	$4,859.43	$6,017.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,926.14 / $4,203.91 / $4,543.08	Facility		$2,926.14	$4,203.91	$4,543.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,030.57 / $3,030.57 / $3,055.50	Facility		$3,030.57	$3,030.57	$3,055.50
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