Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.16 / $3,414.76 / $20,680.40	Facility		$1,441.16	$3,414.76	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,655.72 / $11,647.60	Facility		$55.00	$1,655.72	$11,647.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,412.45 / $2,417.53 / $3,051.81	Facility		$1,412.45	$2,417.53	$3,051.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,692.36 / $2,249.91 / $2,509.82	Facility		$1,692.36	$2,249.91	$2,509.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,655.72 / $1,655.72 / $1,711.92	Facility		$1,655.72	$1,655.72	$1,711.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,340.19 / $24,236.00	Facility		$3,340.00	$6,340.19	$24,236.00