Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,641.98 / $4,392.63 / $5,875.10	Facility		$2,641.98	$4,392.63	$5,875.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,220.38 / $16,815.72	Facility		$55.00	$3,220.38	$16,815.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,449.23 / $3,963.25 / $5,662.93	Facility		$2,449.23	$3,963.25	$5,662.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,194.34 / $4,356.85 / $4,891.00	Facility		$3,194.34	$4,356.85	$4,891.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,220.38 / $3,220.38 / $3,336.10	Facility		$3,220.38	$3,220.38	$3,336.10
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