Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.21 / $1,977.90 / $20,680.40	Facility		$908.21	$1,977.90	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $950.39 / $5,694.22	Facility		$55.00	$950.39	$5,694.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $839.27 / $1,406.16 / $1,775.08	Facility		$839.27	$1,406.16	$1,775.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $981.11 / $1,338.66 / $1,411.02	Facility		$981.11	$1,338.66	$1,411.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $950.39 / $950.39 / $962.44	Facility		$950.39	$950.39	$962.44
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $1,612.00 / $5,793.00	Facility		$703.00	$1,612.00	$5,793.00