Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.21 / $8,369.76 / $20,680.40	Facility		$818.21	$8,369.76	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $868.85 / $8,108.54	Facility		$55.00	$868.85	$8,108.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $836.06 / $1,428.25 / $1,792.70	Facility		$836.06	$1,428.25	$1,792.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $843.34 / $1,215.67 / $1,286.40	Facility		$843.34	$1,215.67	$1,286.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $868.85 / $868.85 / $877.44	Facility		$868.85	$868.85	$877.44
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