Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,011.53 / $4,500.00 / $20,680.40	Facility		$2,011.53	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,211.55 / $22,733.52	Facility		$55.00	$2,211.55	$22,733.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,958.98 / $3,285.22 / $4,147.14	Facility		$1,958.98	$3,285.22	$4,147.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,324.15 / $3,121.99 / $3,349.33	Facility		$2,324.15	$3,121.99	$3,349.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,211.55 / $2,211.55 / $2,284.54	Facility		$2,211.55	$2,211.55	$2,284.54
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