Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.13 / $2,066.39 / $14,464.32	Facility		$325.13	$2,066.39	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,126.51 / $1,472.11	Facility		$55.00	$1,126.51	$1,472.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $265.50 / $674.56 / $2,166.56	Facility		$265.50	$674.56	$2,166.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.07 / $1,582.07 / $1,865.24	Facility		$344.07	$1,582.07	$1,865.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,126.51 / $1,126.51 / $1,175.99	Facility		$1,126.51	$1,126.51	$1,175.99
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00