Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,123.59 / $5,195.05 / $24,827.00	Facility		$2,123.59	$5,195.05	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,164.06 / $24,000.00	Facility		$55.00	$19,164.06	$24,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,150.04 / $3,683.49 / $4,649.92	Facility		$2,150.04	$3,683.49	$4,649.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,577.54 / $3,467.25 / $3,673.61	Facility		$2,577.54	$3,467.25	$3,673.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,446.65 / $2,446.65 / $2,505.73	Facility		$2,446.65	$2,446.65	$2,505.73
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