Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,661.77 / $3,530.55 / $20,680.40	Facility		$1,661.77	$3,530.55	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,784.59 / $13,446.09	Facility		$55.00	$1,784.59	$13,446.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,279.68 / $2,853.60 / $3,465.64	Facility		$1,279.68	$2,853.60	$3,465.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,992.41 / $2,461.79 / $2,698.24	Facility		$1,992.41	$2,461.79	$2,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,784.59 / $1,784.59 / $1,797.50	Facility		$1,784.59	$1,784.59	$1,797.50
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