Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.10 / $3,333.24 / $20,680.40	Facility		$1,386.10	$3,333.24	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,594.56 / $11,157.44	Facility		$55.00	$1,594.56	$11,157.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,379.24 / $2,369.40 / $2,991.05	Facility		$1,379.24	$2,369.40	$2,991.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,623.86 / $2,221.05 / $2,403.96	Facility		$1,623.86	$2,221.05	$2,403.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,594.56 / $1,594.56 / $1,639.72	Facility		$1,594.56	$1,594.56	$1,639.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $8,600.00 / $26,100.00	Facility		$3,340.00	$8,600.00	$26,100.00