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 / $24,827.00	Facility		$1,733.00	$5,128.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,808.38 / $14,191.65	Facility		$55.00	$1,808.38	$14,191.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,604.74 / $2,736.29 / $3,454.20	Facility		$1,604.74	$2,736.29	$3,454.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,921.29 / $2,615.01 / $2,720.20	Facility		$1,921.29	$2,615.01	$2,720.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,808.38 / $1,808.38 / $1,855.42	Facility		$1,808.38	$1,808.38	$1,855.42
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