Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.93 / $2,987.08 / $20,680.40	Facility		$1,340.93	$2,987.08	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,401.13 / $9,772.00	Facility		$55.00	$1,401.13	$9,772.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,234.51 / $2,190.21 / $2,659.99	Facility		$1,234.51	$2,190.21	$2,659.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,519.56 / $1,987.22 / $2,104.46	Facility		$1,519.56	$1,987.22	$2,104.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,401.13 / $1,401.13 / $1,435.44	Facility		$1,401.13	$1,401.13	$1,435.44
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