Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.27 / $5,177.89 / $20,680.40	Facility		$2,616.27	$5,177.89	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,780.97 / $38,240.96	Facility		$55.00	$2,780.97	$38,240.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,926.65 / $4,111.06 / $5,189.66	Facility		$1,926.65	$4,111.06	$5,189.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,886.17 / $3,907.85 / $4,164.05	Facility		$2,886.17	$3,907.85	$4,164.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,780.97 / $2,780.97 / $2,840.26	Facility		$2,780.97	$2,780.97	$2,840.26
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