Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,910.78 / $5,894.72 / $20,680.40	Facility		$2,910.78	$5,894.72	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,036.46 / $23,925.42	Facility		$55.00	$3,036.46	$23,925.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,698.62 / $4,807.47 / $5,838.59	Facility		$2,698.62	$4,807.47	$5,838.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,209.81 / $4,375.77 / $4,566.05	Facility		$3,209.81	$4,375.77	$4,566.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,036.46 / $3,036.46 / $3,114.46	Facility		$3,036.46	$3,036.46	$3,114.46
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