Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.31 / $1,834.42 / $20,680.40	Facility		$844.31	$1,834.42	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $848.02 / $2,991.64	Facility		$55.00	$848.02	$2,991.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $757.27 / $1,342.70 / $1,630.68	Facility		$757.27	$1,342.70	$1,630.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $919.32 / $1,236.15 / $1,282.38	Facility		$919.32	$1,236.15	$1,282.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $848.02 / $848.02 / $874.70	Facility		$848.02	$848.02	$874.70
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