Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,453.48 / $5,035.37 / $20,680.40	Facility		$2,453.48	$5,035.37	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,551.75 / $20,086.47	Facility		$55.00	$2,551.75	$20,086.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,272.21 / $4,051.30 / $4,920.22	Facility		$2,272.21	$4,051.30	$4,920.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,758.73 / $3,733.16 / $3,831.06	Facility		$2,758.73	$3,733.16	$3,831.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,551.75 / $2,551.75 / $2,613.13	Facility		$2,551.75	$2,551.75	$2,613.13
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