Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,241.91 / $4,653.43 / $20,680.40	Facility		$2,241.91	$4,653.43	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,465.23 / $23,185.69	Facility		$55.00	$2,465.23	$23,185.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,183.25 / $3,670.24 / $4,633.18	Facility		$2,183.25	$3,670.24	$4,633.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,617.00 / $3,475.86 / $3,727.21	Facility		$2,617.00	$3,475.86	$3,727.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,465.23 / $2,465.23 / $2,542.29	Facility		$2,465.23	$2,465.23	$2,542.29
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