Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,136.42 / $4,500.00 / $20,680.40	Facility		$2,136.42	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,302.60 / $31,083.84	Facility		$55.00	$2,302.60	$31,083.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,651.37 / $3,665.60 / $4,451.80	Facility		$1,651.37	$3,665.60	$4,451.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,610.69 / $3,223.18 / $3,467.92	Facility		$2,610.69	$3,223.18	$3,467.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,302.60 / $2,302.60 / $2,319.28	Facility		$2,302.60	$2,302.60	$2,319.28
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