Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,329.28 / $2,923.57 / $20,680.40	Facility		$1,329.28	$2,923.57	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,389.80 / $8,554.00	Facility		$55.00	$1,389.80	$8,554.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,220.98 / $2,139.46 / $2,598.35	Facility		$1,220.98	$2,139.46	$2,598.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,481.12 / $1,989.23 / $2,113.85	Facility		$1,481.12	$1,989.23	$2,113.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,389.80 / $1,389.80 / $1,441.84	Facility		$1,389.80	$1,389.80	$1,441.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,030.56 / $1,612.00 / $5,793.00	Facility		$1,030.56	$1,612.00	$5,793.00