Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.27 / $3,504.39 / $20,680.40	Facility		$1,604.27	$3,504.39	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,669.76 / $18,783.43	Facility		$55.00	$1,669.76	$18,783.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,505.11 / $2,481.69 / $3,132.81	Facility		$1,505.11	$2,481.69	$3,132.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,800.75 / $2,403.29 / $2,514.51	Facility		$1,800.75	$2,403.29	$2,514.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,669.76 / $1,669.76 / $1,715.12	Facility		$1,669.76	$1,669.76	$1,715.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,612.00 / $5,793.00	Facility		$1,120.00	$1,612.00	$5,793.00