Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.06 / $7,920.26 / $22,024.00	Facility		$1,507.06	$7,920.26	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,639.41 / $9,699.54	Facility		$55.00	$1,639.41	$9,699.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,492.61 / $2,602.58 / $3,200.47	Facility		$1,492.61	$2,602.58	$3,200.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,591.92 / $2,278.42 / $2,424.06	Facility		$1,591.92	$2,278.42	$2,424.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,639.41 / $1,639.41 / $1,653.43	Facility		$1,639.41	$1,639.41	$1,653.43
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