Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.98 / $3,539.15 / $20,680.40	Facility		$1,747.98	$3,539.15	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,859.11 / $33,150.60	Facility		$55.00	$1,859.11	$33,150.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,295.18 / $2,871.72 / $3,487.66	Facility		$1,295.18	$2,871.72	$3,487.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,011.51 / $2,611.55 / $2,773.72	Facility		$2,011.51	$2,611.55	$2,773.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,859.11 / $1,859.11 / $1,877.81	Facility		$1,859.11	$1,859.11	$1,877.81
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