Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.62 / $3,906.29 / $20,680.40	Facility		$1,672.62	$3,906.29	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,817.44 / $10,936.80	Facility		$55.00	$1,817.44	$10,936.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,660.26 / $2,857.95 / $3,470.93	Facility		$1,660.26	$2,857.95	$3,470.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,985.48 / $2,559.06 / $2,728.16	Facility		$1,985.48	$2,559.06	$2,728.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,817.44 / $1,817.44 / $1,857.71	Facility		$1,817.44	$1,817.44	$1,857.71
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