Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.76 / $3,764.02 / $20,680.40	Facility		$1,673.76	$3,764.02	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,735.90 / $12,185.20	Facility		$55.00	$1,735.90	$12,185.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,609.74 / $2,749.92 / $3,339.73	Facility		$1,609.74	$2,749.92	$3,339.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,853.18 / $2,507.14 / $2,615.01	Facility		$1,853.18	$2,507.14	$2,615.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.90 / $1,735.90 / $1,783.67	Facility		$1,735.90	$1,735.90	$1,783.67
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