Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,695.21 / $3,828.99 / $20,680.40	Facility		$1,695.21	$3,828.99	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,824.23 / $20,211.09	Facility		$55.00	$1,824.23	$20,211.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,651.48 / $2,827.50 / $3,433.95	Facility		$1,651.48	$2,827.50	$3,433.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,931.09 / $2,578.69 / $2,720.67	Facility		$1,931.09	$2,578.69	$2,720.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,824.23 / $1,824.23 / $1,849.02	Facility		$1,824.23	$1,824.23	$1,849.02
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