Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,868.78 / $4,233.54 / $20,680.40	Facility		$1,868.78	$4,233.54	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,943.82 / $15,357.24	Facility		$55.00	$1,943.82	$15,357.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,740.45 / $3,089.22 / $3,751.81	Facility		$1,740.45	$3,089.22	$3,751.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,149.69 / $2,812.66 / $2,929.24	Facility		$2,149.69	$2,812.66	$2,929.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.82 / $1,943.82 / $1,998.00	Facility		$1,943.82	$1,943.82	$1,998.00
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