Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.04 / $1,953.23 / $5,564.16	Facility		$981.04	$1,953.23	$5,564.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,215.40 / $8,305.36	Facility		$55.00	$1,215.40	$8,305.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,104.18 / $1,882.82 / $2,295.46	Facility		$1,104.18	$1,882.82	$2,295.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,405.75 / $1,703.52 / $1,824.41	Facility		$1,405.75	$1,703.52	$1,824.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.40 / $1,215.40 / $1,244.41	Facility		$1,215.40	$1,215.40	$1,244.41
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