Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.30 / $2,544.73 / $20,680.40	Facility		$1,123.30	$2,544.73	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,220.38 / $10,563.60	Facility		$55.00	$1,220.38	$10,563.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,097.07 / $1,803.03 / $2,276.09	Facility		$1,097.07	$1,803.03	$2,276.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,282.47 / $1,730.61 / $1,858.58	Facility		$1,282.47	$1,730.61	$1,858.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,220.38 / $1,220.38 / $1,267.72	Facility		$1,220.38	$1,220.38	$1,267.72
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