Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,658.29 / $3,792.51 / $20,680.40	Facility		$1,658.29	$3,792.51	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,820.15 / $15,622.70	Facility		$55.00	$1,820.15	$15,622.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,619.91 / $2,730.01 / $3,446.27	Facility		$1,619.91	$2,730.01	$3,446.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,927.66 / $2,577.64 / $2,762.41	Facility		$1,927.66	$2,577.64	$2,762.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,820.15 / $1,820.15 / $1,884.21	Facility		$1,820.15	$1,820.15	$1,884.21
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