Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,905.10 / $4,842.77 / $6,504.87	Facility		$2,905.10	$4,842.77	$6,504.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,556.05 / $24,845.76	Facility		$55.00	$3,556.05	$24,845.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,773.50 / $4,487.97 / $6,256.25	Facility		$2,773.50	$4,487.97	$6,256.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,357.88 / $4,805.68 / $5,438.39	Facility		$3,357.88	$4,805.68	$5,438.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,556.05 / $3,556.05 / $3,709.47	Facility		$3,556.05	$3,556.05	$3,709.47
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