Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,268.71 / $4,669.60 / $20,680.40	Facility		$2,268.71	$4,669.60	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,451.17 / $33,213.44	Facility		$55.00	$2,451.17	$33,213.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,727.94 / $3,858.45 / $4,686.02	Facility		$1,727.94	$3,858.45	$4,686.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,634.23 / $3,405.29 / $3,679.48	Facility		$2,634.23	$3,405.29	$3,679.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.17 / $2,451.17 / $2,477.85	Facility		$2,451.17	$2,451.17	$2,477.85
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