Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,344.85 / $2,833.82 / $20,680.40	Facility		$1,344.85	$2,833.82	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,457.75 / $13,521.97	Facility		$55.00	$1,457.75	$13,521.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,030.13 / $2,291.71 / $2,783.26	Facility		$1,030.13	$2,291.71	$2,783.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,646.41 / $2,021.27 / $2,188.23	Facility		$1,646.41	$2,021.27	$2,188.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,457.75 / $1,457.75 / $1,466.97	Facility		$1,457.75	$1,457.75	$1,466.97
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