Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.19 / $4,502.00 / $20,680.40	Facility		$2,189.19	$4,502.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,374.17 / $31,850.72	Facility		$55.00	$2,374.17	$31,850.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,669.04 / $3,722.15 / $4,520.47	Facility		$1,669.04	$3,722.15	$4,520.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,606.50 / $3,280.37 / $3,564.40	Facility		$2,606.50	$3,280.37	$3,564.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,374.17 / $2,374.17 / $2,378.23	Facility		$2,374.17	$2,374.17	$2,378.23
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