Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.67 / $2,462.53 / $20,680.40	Facility		$1,100.67	$2,462.53	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,138.39 / $6,993.42	Facility		$55.00	$1,138.39	$6,993.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,014.75 / $1,798.00 / $2,183.64	Facility		$1,014.75	$1,798.00	$2,183.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,210.30 / $1,634.80 / $1,713.86	Facility		$1,210.30	$1,634.80	$1,713.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,138.39 / $1,138.39 / $1,169.01	Facility		$1,138.39	$1,138.39	$1,169.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00