Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.06 / $4,055.91 / $20,680.40	Facility		$1,984.06	$4,055.91	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,123.66 / $28,560.00	Facility		$55.00	$2,123.66	$28,560.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,483.04 / $3,297.30 / $4,004.51	Facility		$1,483.04	$3,297.30	$4,004.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,362.57 / $2,968.97 / $3,165.36	Facility		$2,362.57	$2,968.97	$3,165.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,123.66 / $2,123.66 / $2,126.42	Facility		$2,123.66	$2,123.66	$2,126.42
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