Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,266.21 / $7,920.26 / $24,258.74	Facility		$2,266.21	$7,920.26	$24,258.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,451.17 / $14,229.60	Facility		$55.00	$2,451.17	$14,229.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,248.89 / $3,841.77 / $4,822.09	Facility		$2,248.89	$3,841.77	$4,822.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,334.73 / $3,346.10 / $3,611.97	Facility		$2,334.73	$3,346.10	$3,611.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,429.87 / $2,429.87 / $2,451.17	Facility		$2,429.87	$2,429.87	$2,451.17
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