Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.21 / $5,128.00 / $18,800.00	Facility		$1,325.21	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,434.65 / $10,893.42	Facility		$55.00	$1,434.65	$10,893.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,014.94 / $2,259.10 / $2,776.94	Facility		$1,014.94	$2,259.10	$2,776.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,577.80 / $2,006.36 / $2,157.57	Facility		$1,577.80	$2,006.36	$2,157.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,434.65 / $1,434.65 / $1,443.21	Facility		$1,434.65	$1,434.65	$1,443.21
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