Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.48 / $5,128.00 / $20,680.40	Facility		$1,029.48	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $752.43 / $4,777.50	Facility		$55.00	$752.43	$4,777.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $633.86 / $1,042.76 / $1,381.07	Facility		$633.86	$1,042.76	$1,381.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $1,007.68 / $1,125.59	Facility		$735.00	$1,007.68	$1,125.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.43 / $752.43 / $767.76	Facility		$752.43	$752.43	$767.76
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