Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.54 / $3,408.95 / $20,680.40	Facility		$1,629.54	$3,408.95	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,757.19 / $13,320.00	Facility		$55.00	$1,757.19	$13,320.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,241.55 / $2,766.60 / $3,359.98	Facility		$1,241.55	$2,766.60	$3,359.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,879.38 / $2,438.41 / $2,629.75	Facility		$1,879.38	$2,438.41	$2,629.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,757.19 / $1,757.19 / $1,766.31	Facility		$1,757.19	$1,757.19	$1,766.31
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