Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.29 / $5,116.62 / $20,680.40	Facility		$1,215.29	$5,116.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,193.66 / $2,000.00 / $7,300.58	Facility		$1,193.66	$2,000.00	$7,300.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,063.95 / $1,870.50 / $2,271.69	Facility		$1,063.95	$1,870.50	$2,271.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,253.40 / $1,709.31 / $1,792.25	Facility		$1,253.40	$1,709.31	$1,792.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,193.66 / $1,222.48 / $1,470.05	Facility		$1,193.66	$1,222.48	$1,470.05
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