Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,558.88 / $3,394.41 / $20,680.40	Facility		$1,558.88	$3,394.41	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,637.60 / $11,303.20	Facility		$55.00	$1,637.60	$11,303.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,441.56 / $2,412.65 / $3,045.64	Facility		$1,441.56	$2,412.65	$3,045.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,684.12 / $2,328.92 / $2,456.21	Facility		$1,684.12	$2,328.92	$2,456.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,637.60 / $1,637.60 / $1,675.36	Facility		$1,637.60	$1,637.60	$1,675.36
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