Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,528.09 / $20,680.40	Facility		$1,682.00	$3,528.09	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,839.18 / $24,903.52	Facility		$55.00	$1,839.18	$24,903.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,286.50 / $2,866.65 / $3,481.49	Facility		$1,286.50	$2,866.65	$3,481.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,081.16 / $2,541.69 / $2,734.94	Facility		$2,081.16	$2,541.69	$2,734.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.18 / $1,839.18 / $1,856.79	Facility		$1,839.18	$1,839.18	$1,856.79
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