Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.31 / $2,392.98 / $20,680.40	Facility		$1,102.31	$2,392.98	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,149.26 / $12,787.84	Facility		$55.00	$1,149.26	$12,787.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,022.54 / $1,697.01 / $2,142.25	Facility		$1,022.54	$1,697.01	$2,142.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,221.57 / $1,630.01 / $1,711.85	Facility		$1,221.57	$1,630.01	$1,711.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,149.26 / $1,149.26 / $1,167.64	Facility		$1,149.26	$1,149.26	$1,167.64
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