Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.47 / $6,029.68 / $20,680.40	Facility		$3,546.47	$6,029.68	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,615.33 / $48,780.16	Facility		$55.00	$3,615.33	$48,780.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,421.41 / $4,812.46 / $6,441.73	Facility		$2,421.41	$4,812.46	$6,441.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,588.27 / $4,948.62 / $5,300.37	Facility		$3,588.27	$4,948.62	$5,300.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,512.11 / $3,512.11 / $3,615.33	Facility		$3,512.11	$3,512.11	$3,615.33
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00