Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,711.15 / $3,610.04 / $20,680.40	Facility		$1,711.15	$3,610.04	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,862.28 / $17,262.08	Facility		$55.00	$1,862.28	$17,262.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,320.91 / $2,909.42 / $3,533.44	Facility		$1,320.91	$2,909.42	$3,533.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,047.29 / $2,598.73 / $2,793.23	Facility		$2,047.29	$2,598.73	$2,793.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.28 / $1,862.28 / $1,873.70	Facility		$1,862.28	$1,862.28	$1,873.70
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