Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,689.93 / $3,792.00 / $20,680.40	Facility		$1,689.93	$3,792.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,755.38 / $12,342.56	Facility		$55.00	$1,755.38	$12,342.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,559.23 / $2,772.40 / $3,367.03	Facility		$1,559.23	$2,772.40	$3,367.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,892.88 / $2,562.08 / $2,648.51	Facility		$1,892.88	$2,562.08	$2,648.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.38 / $1,755.38 / $1,806.52	Facility		$1,755.38	$1,755.38	$1,806.52
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