Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.49 / $3,208.79 / $20,680.40	Facility		$1,448.49	$3,208.79	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,513.02 / $9,173.92	Facility		$55.00	$1,513.02	$9,173.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,337.42 / $2,349.71 / $2,853.70	Facility		$1,337.42	$2,349.71	$2,853.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,594.46 / $2,149.36 / $2,259.23	Facility		$1,594.46	$2,149.36	$2,259.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.02 / $1,513.02 / $1,541.00	Facility		$1,513.02	$1,513.02	$1,541.00
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