Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.56 / $3,864.66 / $20,680.40	Facility		$1,710.56	$3,864.66	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,830.12 / $5,897.00 / $20,549.09	Facility		$1,830.12	$5,897.00	$20,549.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,649.84 / $2,751.07 / $3,428.66	Facility		$1,649.84	$2,751.07	$3,428.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,969.30 / $2,619.67 / $2,738.96	Facility		$1,969.30	$2,619.67	$2,738.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.12 / $1,830.12 / $1,868.22	Facility		$1,830.12	$1,830.12	$1,868.22
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00