Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.34 / $3,488.94 / $20,680.40	Facility		$1,525.34	$3,488.94	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,674.29 / $14,341.40	Facility		$55.00	$1,674.29	$14,341.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,487.48 / $2,511.00 / $3,169.80	Facility		$1,487.48	$2,511.00	$3,169.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,772.30 / $2,367.90 / $2,535.94	Facility		$1,772.30	$2,367.90	$2,535.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,674.29 / $1,674.29 / $1,729.75	Facility		$1,674.29	$1,674.29	$1,729.75
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