Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.36 / $2,961.92 / $20,680.40	Facility		$1,394.36	$2,961.92	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,505.77 / $8,894.48	Facility		$55.00	$1,505.77	$8,894.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,067.33 / $2,378.00 / $2,888.04	Facility		$1,067.33	$2,378.00	$2,888.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,771.11 / $2,032.29 / $2,258.57	Facility		$1,771.11	$2,032.29	$2,258.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,505.77 / $1,505.77 / $1,516.33	Facility		$1,505.77	$1,505.77	$1,516.33
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