Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,688.55 / $3,579.08 / $20,680.40	Facility		$1,688.55	$3,579.08	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,816.98 / $24,801.28	Facility		$55.00	$1,816.98	$24,801.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,302.00 / $2,901.45 / $3,523.76	Facility		$1,302.00	$2,901.45	$3,523.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,985.85 / $2,563.51 / $2,728.91	Facility		$1,985.85	$2,563.51	$2,728.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,816.98 / $1,816.98 / $1,849.94	Facility		$1,816.98	$1,816.98	$1,849.94
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