Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.26 / $4,092.84 / $20,680.40	Facility		$1,680.26	$4,092.84	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,937.48 / $15,197.13	Facility		$55.00	$1,937.48	$15,197.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,696.17 / $2,900.20 / $3,661.11	Facility		$1,696.17	$2,900.20	$3,661.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,030.06 / $2,749.68 / $2,912.49	Facility		$2,030.06	$2,749.68	$2,912.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,937.48 / $1,937.48 / $1,986.58	Facility		$1,937.48	$1,937.48	$1,986.58
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