Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.89 / $2,515.64 / $14,464.32	Facility		$435.89	$2,515.64	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,414.34 / $2,414.34	Facility		$55.00	$2,414.34	$2,414.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $299.66 / $1,102.35 / $3,330.05	Facility		$299.66	$1,102.35	$3,330.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,335.04 / $2,428.08 / $2,580.17	Facility		$1,335.04	$2,428.08	$2,580.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,732.73 / $1,732.73 / $1,759.91	Facility		$1,732.73	$1,732.73	$1,759.91
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00