Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.64 / $3,625.30 / $20,680.40	Facility		$1,608.64	$3,625.30	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,671.12 / $10,243.24	Facility		$55.00	$1,671.12	$10,243.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,499.78 / $2,648.42 / $3,216.46	Facility		$1,499.78	$2,648.42	$3,216.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,809.03 / $2,445.78 / $2,513.17	Facility		$1,809.03	$2,445.78	$2,513.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,671.12 / $1,671.12 / $1,714.21	Facility		$1,671.12	$1,671.12	$1,714.21
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