Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $7,144.00 / $24,827.00	Facility		$1,733.00	$7,144.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,291.50 / $7,871.08	Facility		$55.00	$1,291.50	$7,871.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,153.51 / $1,943.58 / $2,393.19	Facility		$1,153.51	$1,943.58	$2,393.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,390.62 / $1,837.81 / $1,940.32	Facility		$1,390.62	$1,837.81	$1,940.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,291.50 / $1,291.50 / $1,323.47	Facility		$1,291.50	$1,291.50	$1,323.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00