Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.06 / $2,305.17 / $20,680.40	Facility		$1,031.06	$2,305.17	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,071.80 / $6,587.28	Facility		$55.00	$1,071.80	$6,587.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $953.25 / $1,687.07 / $2,048.92	Facility		$953.25	$1,687.07	$2,048.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,132.76 / $1,530.28 / $1,620.06	Facility		$1,132.76	$1,530.28	$1,620.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.80 / $1,071.80 / $1,105.03	Facility		$1,071.80	$1,071.80	$1,105.03
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