Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.01 / $3,180.53 / $20,680.40	Facility		$1,347.01	$3,180.53	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,551.98 / $9,446.36	Facility		$55.00	$1,551.98	$9,446.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,323.48 / $2,256.41 / $2,848.41	Facility		$1,323.48	$2,256.41	$2,848.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,575.11 / $2,135.06 / $2,326.91	Facility		$1,575.11	$2,135.06	$2,326.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,551.98 / $1,551.98 / $1,587.16	Facility		$1,551.98	$1,551.98	$1,587.16
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