Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,558.53 / $3,316.68 / $20,680.40	Facility		$1,558.53	$3,316.68	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,692.86 / $12,867.21	Facility		$55.00	$1,692.86	$12,867.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,200.32 / $2,675.25 / $3,249.04	Facility		$1,200.32	$2,675.25	$3,249.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.87 / $2,351.23 / $2,541.16	Facility		$1,905.87	$2,351.23	$2,541.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,692.86 / $1,692.86 / $1,706.90	Facility		$1,692.86	$1,692.86	$1,706.90
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