Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.22 / $2,709.13 / $20,680.40	Facility		$1,239.22	$2,709.13	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,172.21 / $8,014.72	Facility		$55.00	$1,172.21	$8,014.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,058.82 / $1,919.19 / $2,403.76	Facility		$1,058.82	$1,919.19	$2,403.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,331.82 / $1,675.80 / $1,845.85	Facility		$1,331.82	$1,675.80	$1,845.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,172.21 / $1,172.21 / $1,252.08	Facility		$1,172.21	$1,172.21	$1,252.08
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