Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,522.00 / $5,600.15 / $20,680.40	Facility		$2,522.00	$5,600.15	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,905.09 / $22,791.96	Facility		$55.00	$2,905.09	$22,791.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,567.42 / $4,415.17 / $5,573.56	Facility		$2,567.42	$4,415.17	$5,573.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,088.20 / $4,182.81 / $4,370.41	Facility		$3,088.20	$4,182.81	$4,370.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,905.09 / $2,905.09 / $2,981.01	Facility		$2,905.09	$2,905.09	$2,981.01
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