Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,336.80 / $7,997.22	Facility		$55.00	$1,336.80	$7,997.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,126.27 / $1,854.65 / $2,422.56	Facility		$1,126.27	$1,854.65	$2,422.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,311.73 / $1,799.62 / $1,973.82	Facility		$1,311.73	$1,799.62	$1,973.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,336.80 / $1,336.80 / $1,346.32	Facility		$1,336.80	$1,336.80	$1,346.32
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00