Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.04 / $2,258.56 / $20,680.40	Facility		$953.04	$2,258.56	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,097.61 / $6,673.10	Facility		$55.00	$1,097.61	$6,673.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $964.23 / $1,634.17 / $2,000.49	Facility		$964.23	$1,634.17	$2,000.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,106.10 / $1,529.61 / $1,642.84	Facility		$1,106.10	$1,529.61	$1,642.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,097.61 / $1,097.61 / $1,120.56	Facility		$1,097.61	$1,097.61	$1,120.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00