Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,918.46 / $4,500.00 / $20,680.40	Facility		$1,918.46	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,212.44 / $17,364.68	Facility		$55.00	$2,212.44	$17,364.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,915.11 / $3,276.85 / $4,136.58	Facility		$1,915.11	$3,276.85	$4,136.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,297.50 / $3,090.29 / $3,327.89	Facility		$2,297.50	$3,090.29	$3,327.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,212.44 / $2,212.44 / $2,269.92	Facility		$2,212.44	$2,212.44	$2,269.92
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