Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,125.00 / $23,000.00	Facility		$1,733.00	$5,125.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,375.76 / $9,661.84	Facility		$55.00	$1,375.76	$9,661.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,221.39 / $2,169.92 / $2,635.33	Facility		$1,221.39	$2,169.92	$2,635.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,475.84 / $1,988.56 / $2,073.65	Facility		$1,475.84	$1,988.56	$2,073.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,375.76 / $1,375.76 / $1,414.42	Facility		$1,375.76	$1,375.76	$1,414.42
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