Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,120.80 / $4,487.81 / $20,680.40	Facility		$2,120.80	$4,487.81	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,296.26 / $31,032.64	Facility		$55.00	$2,296.26	$31,032.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,637.42 / $3,623.55 / $4,400.72	Facility		$1,637.42	$3,623.55	$4,400.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,510.67 / $3,190.60 / $3,446.92	Facility		$2,510.67	$3,190.60	$3,446.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,296.26 / $2,296.26 / $2,315.62	Facility		$2,296.26	$2,296.26	$2,315.62
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