Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.75 / $5,128.00 / $20,680.40	Facility		$1,544.75	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,751.30 / $12,321.12	Facility		$55.00	$1,751.30	$12,321.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,514.01 / $2,407.23 / $3,164.51	Facility		$1,514.01	$2,407.23	$3,164.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,740.02 / $2,451.53 / $2,704.79	Facility		$1,740.02	$2,451.53	$2,704.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,751.30 / $1,751.30 / $1,844.91	Facility		$1,751.30	$1,751.30	$1,844.91
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