Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $1,595.85 / $20,680.40	Facility		$741.08	$1,595.85	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $764.66 / $4,750.27	Facility		$55.00	$764.66	$4,750.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $682.43 / $1,130.42 / $1,417.46	Facility		$682.43	$1,130.42	$1,417.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $806.54 / $1,082.05 / $1,169.15	Facility		$806.54	$1,082.05	$1,169.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.66 / $764.66 / $797.47	Facility		$764.66	$764.66	$797.47
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00