Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,996.33 / $4,158.03 / $20,680.40	Facility		$1,996.33	$4,158.03	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,156.73 / $29,184.00	Facility		$55.00	$2,156.73	$29,184.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,512.18 / $3,358.20 / $4,078.47	Facility		$1,512.18	$3,358.20	$4,078.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,289.26 / $3,038.28 / $3,205.95	Facility		$2,289.26	$3,038.28	$3,205.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,156.73 / $2,156.73 / $2,175.78	Facility		$2,156.73	$2,156.73	$2,175.78
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