Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,666.99 / $5,536.32 / $20,680.40	Facility		$2,666.99	$5,536.32	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,878.82 / $38,733.76	Facility		$55.00	$2,878.82	$38,733.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,046.31 / $4,564.60 / $5,543.62	Facility		$2,046.31	$4,564.60	$5,543.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,182.55 / $3,996.82 / $4,321.39	Facility		$3,182.55	$3,996.82	$4,321.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,878.82 / $2,878.82 / $2,890.53	Facility		$2,878.82	$2,878.82	$2,890.53
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