Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,416.53 / $5,049.97 / $20,680.40	Facility		$2,416.53	$5,049.97	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,628.31 / $35,498.87	Facility		$55.00	$2,628.31	$35,498.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,863.72 / $4,164.39 / $5,002.27	Facility		$1,863.72	$4,164.39	$5,002.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,849.83 / $3,642.64 / $3,940.94	Facility		$2,849.83	$3,642.64	$3,940.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,628.31 / $2,628.31 / $2,650.60	Facility		$2,628.31	$2,628.31	$2,650.60
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