Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,325.90 / $4,813.84 / $20,680.40	Facility		$2,325.90	$4,813.84	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,531.82 / $34,211.68	Facility		$55.00	$2,531.82	$34,211.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,787.46 / $3,986.77 / $4,841.85	Facility		$1,787.46	$3,986.77	$4,841.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,717.08 / $3,526.74 / $3,794.88	Facility		$2,717.08	$3,526.74	$3,794.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,531.82 / $2,531.82 / $2,553.71	Facility		$2,531.82	$2,531.82	$2,553.71
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