Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,132.00 / $20,680.40	Facility		$1,733.00	$5,132.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,301.47 / $7,905.80	Facility		$55.00	$1,301.47	$7,905.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,143.75 / $1,953.87 / $2,372.94	Facility		$1,143.75	$1,953.87	$2,372.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,338.09 / $1,820.39 / $1,945.68	Facility		$1,338.09	$1,820.39	$1,945.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,301.47 / $1,301.47 / $1,327.13	Facility		$1,301.47	$1,301.47	$1,327.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,716.00 / $10,522.00	Facility		$1,550.00	$2,716.00	$10,522.00