Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,509.74 / $3,182.64 / $20,680.40	Facility		$1,509.74	$3,182.64	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,636.24 / $12,519.18	Facility		$55.00	$1,636.24	$12,519.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,161.57 / $2,568.67 / $3,119.61	Facility		$1,161.57	$2,568.67	$3,119.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,751.47 / $2,260.61 / $2,456.16	Facility		$1,751.47	$2,260.61	$2,456.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.24 / $1,636.24 / $1,658.91	Facility		$1,636.24	$1,636.24	$1,658.91
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