Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.27 / $2,058.98 / $20,680.40	Facility		$1,015.27	$2,058.98	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,071.80 / $14,754.88	Facility		$55.00	$1,071.80	$14,754.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $968.42 / $1,663.87 / $2,020.74	Facility		$968.42	$1,663.87	$2,020.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,169.82 / $1,541.01 / $1,606.66	Facility		$1,169.82	$1,541.01	$1,606.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.80 / $1,071.80 / $1,095.89	Facility		$1,071.80	$1,071.80	$1,095.89
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