Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,063.11 / $5,128.00 / $20,680.40	Facility		$2,063.11	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $15,019.36	Facility		$55.00	$10,160.00	$15,019.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,920.44 / $3,226.78 / $4,070.55	Facility		$1,920.44	$3,226.78	$4,070.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,255.35 / $3,056.54 / $3,262.90	Facility		$2,255.35	$3,056.54	$3,262.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.94 / $2,173.94 / $2,225.59	Facility		$2,173.94	$2,173.94	$2,225.59
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