Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.62 / $3,889.09 / $20,680.40	Facility		$1,680.62	$3,889.09	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,932.50 / $13,498.08	Facility		$55.00	$1,932.50	$13,498.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,608.84 / $2,757.91 / $3,549.71	Facility		$1,608.84	$2,757.91	$3,549.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,926.37 / $2,661.77 / $2,907.13	Facility		$1,926.37	$2,661.77	$2,907.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,932.50 / $1,932.50 / $1,982.92	Facility		$1,932.50	$1,932.50	$1,982.92
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