Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,148.42 / $4,400.68 / $20,680.40	Facility		$2,148.42	$4,400.68	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,312.57 / $31,448.96	Facility		$55.00	$2,312.57	$31,448.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,631.22 / $3,592.95 / $4,406.02	Facility		$1,631.22	$3,592.95	$4,406.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,425.89 / $3,225.21 / $3,438.08	Facility		$2,425.89	$3,225.21	$3,438.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,312.57 / $2,312.57 / $2,342.13	Facility		$2,312.57	$2,312.57	$2,342.13
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