Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.55 / $2,881.79 / $20,680.40	Facility		$1,400.55	$2,881.79	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,511.66 / $11,455.02	Facility		$55.00	$1,511.66	$11,455.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,056.17 / $2,328.69 / $2,828.16	Facility		$1,056.17	$2,328.69	$2,828.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,624.35 / $2,085.19 / $2,241.96	Facility		$1,624.35	$2,085.19	$2,241.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,511.66 / $1,511.66 / $1,517.24	Facility		$1,511.66	$1,511.66	$1,517.24
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