Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.41 / $3,239.25 / $20,680.40	Facility		$1,443.41	$3,239.25	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,495.35 / $5,249.68	Facility		$55.00	$1,495.35	$5,249.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,331.68 / $2,369.30 / $2,877.47	Facility		$1,331.68	$2,369.30	$2,877.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,666.20 / $2,186.88 / $2,251.19	Facility		$1,666.20	$2,186.88	$2,251.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,495.35 / $1,495.35 / $1,535.52	Facility		$1,495.35	$1,495.35	$1,535.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00