Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.24 / $3,301.84 / $20,680.40	Facility		$1,570.24	$3,301.84	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,647.49 / $9,655.45	Facility		$55.00	$1,647.49	$9,655.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,194.74 / $2,656.40 / $3,226.15	Facility		$1,194.74	$2,656.40	$3,226.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,871.81 / $2,273.61 / $2,548.01	Facility		$1,871.81	$2,273.61	$2,548.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,647.49 / $1,647.49 / $1,702.83	Facility		$1,647.49	$1,647.49	$1,702.83
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