Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,414.91 / $3,164.59 / $27,982.24	Facility		$1,414.91	$3,164.59	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,473.16 / $9,041.34	Facility		$55.00	$1,473.16	$9,041.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,307.49 / $2,317.10 / $2,814.07	Facility		$1,307.49	$2,317.10	$2,814.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,568.80 / $2,107.15 / $2,223.06	Facility		$1,568.80	$2,107.15	$2,223.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,473.16 / $1,473.16 / $1,516.33	Facility		$1,473.16	$1,473.16	$1,516.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00