Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,160.07 / $6,470.00 / $20,680.40	Facility		$3,160.07	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,458.66 / $46,482.40	Facility		$55.00	$3,458.66	$46,482.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,424.51 / $5,407.05 / $6,566.76	Facility		$2,424.51	$5,407.05	$6,566.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,913.70 / $4,785.08 / $5,185.80	Facility		$3,913.70	$4,785.08	$5,185.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,458.66 / $3,458.66 / $3,470.00	Facility		$3,458.66	$3,458.66	$3,470.00
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