Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,512.02 / $3,170.53 / $20,680.40	Facility		$1,512.02	$3,170.53	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,628.54 / $12,378.96	Facility		$55.00	$1,628.54	$12,378.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,153.51 / $2,572.30 / $3,124.01	Facility		$1,153.51	$2,572.30	$3,124.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,842.80 / $2,256.28 / $2,444.60	Facility		$1,842.80	$2,256.28	$2,444.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,628.54 / $1,628.54 / $1,642.00	Facility		$1,628.54	$1,628.54	$1,642.00
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