Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.59 / $3,536.29 / $20,680.40	Facility		$1,568.59	$3,536.29	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,714.15 / $14,766.70	Facility		$55.00	$1,714.15	$14,766.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,516.18 / $2,536.11 / $3,201.49	Facility		$1,516.18	$2,536.11	$3,201.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,804.18 / $2,437.17 / $2,607.64	Facility		$1,804.18	$2,437.17	$2,607.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,714.15 / $1,714.15 / $1,778.64	Facility		$1,714.15	$1,714.15	$1,778.64
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