Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $24,827.00	Facility		$1,733.00	$5,128.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,441.90 / $13,750.88	Facility		$55.00	$1,441.90	$13,750.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,261.57 / $2,181.03 / $2,682.00	Facility		$1,261.57	$2,181.03	$2,682.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,532.23 / $2,019.38 / $2,168.79	Facility		$1,532.23	$2,019.38	$2,168.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,441.90 / $1,441.90 / $1,479.31	Facility		$1,441.90	$1,441.90	$1,479.31
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