Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.62 / $3,726.41 / $20,680.40	Facility		$1,657.62	$3,726.41	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,727.29 / $12,067.04	Facility		$55.00	$1,727.29	$12,067.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,530.53 / $2,723.10 / $3,307.15	Facility		$1,530.53	$2,723.10	$3,307.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,822.20 / $2,472.96 / $2,589.55	Facility		$1,822.20	$2,472.96	$2,589.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,727.29 / $1,727.29 / $1,766.31	Facility		$1,727.29	$1,727.29	$1,766.31
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