Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.58 / $3,339.77 / $14,464.32	Facility		$585.58	$3,339.77	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,319.73 / $3,029.79	Facility		$55.00	$2,319.73	$3,029.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $514.58 / $969.57 / $4,653.85	Facility		$514.58	$969.57	$4,653.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $655.26 / $3,262.05 / $3,781.48	Facility		$655.26	$3,262.05	$3,781.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,319.73 / $2,319.73 / $2,431.69	Facility		$2,319.73	$2,319.73	$2,431.69
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00