Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.17 / $2,915.69 / $18,711.00	Facility		$1,153.17	$2,915.69	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,421.51 / $7,465.26	Facility		$55.00	$1,421.51	$7,465.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $1,998.38 / $2,606.28	Facility		$1,256.22	$1,998.38	$2,606.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,458.35 / $2,016.70 / $2,178.17	Facility		$1,458.35	$2,016.70	$2,178.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.51 / $1,421.51 / $1,485.71	Facility		$1,421.51	$1,421.51	$1,485.71
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