Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,107.74 / $2,444.73 / $20,680.40	Facility		$1,107.74	$2,444.73	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,161.04 / $7,983.92	Facility		$55.00	$1,161.04	$7,983.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,040.17 / $1,733.28 / $2,188.04	Facility		$1,040.17	$1,733.28	$2,188.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,229.90 / $1,645.10 / $1,738.65	Facility		$1,229.90	$1,645.10	$1,738.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,161.04 / $1,161.04 / $1,185.92	Facility		$1,161.04	$1,161.04	$1,185.92
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