Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,299.92 / $4,749.00 / $20,680.40	Facility		$2,299.92	$4,749.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,490.59 / $33,737.12	Facility		$55.00	$2,490.59	$33,737.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,768.24 / $3,918.62 / $4,759.10	Facility		$1,768.24	$3,918.62	$4,759.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,817.24 / $3,464.61 / $3,738.64	Facility		$2,817.24	$3,464.61	$3,738.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,490.59 / $2,490.59 / $2,517.61	Facility		$2,490.59	$2,490.59	$2,517.61
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