Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.44 / $1,617.84 / $20,680.40	Facility		$560.44	$1,617.84	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $583.46 / $5,554.56	Facility		$55.00	$583.46	$5,554.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $535.67 / $1,141.67 / $1,361.66	Facility		$535.67	$1,141.67	$1,361.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $715.55 / $848.22 / $1,103.49	Facility		$715.55	$848.22	$1,103.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.46 / $583.46 / $594.55	Facility		$583.46	$583.46	$594.55
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