Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.47 / $2,251.04 / $20,680.40	Facility		$1,032.47	$2,251.04	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,074.06 / $12,065.04	Facility		$55.00	$1,074.06	$12,065.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $950.38 / $1,597.97 / $2,017.22	Facility		$950.38	$1,597.97	$2,017.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,130.92 / $1,532.29 / $1,611.35	Facility		$1,130.92	$1,532.29	$1,611.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.06 / $1,074.06 / $1,099.08	Facility		$1,074.06	$1,074.06	$1,099.08
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