Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.93 / $3,157.84 / $20,680.40	Facility		$1,544.93	$3,157.84	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,605.89 / $9,849.07	Facility		$55.00	$1,605.89	$9,849.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,425.16 / $2,538.94 / $3,083.51	Facility		$1,425.16	$2,538.94	$3,083.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,710.10 / $2,300.78 / $2,416.02	Facility		$1,710.10	$2,300.78	$2,416.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,605.89 / $1,605.89 / $1,647.94	Facility		$1,605.89	$1,605.89	$1,647.94
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