Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.89 / $6,064.96 / $20,680.40	Facility		$2,906.89	$6,064.96	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,209.96 / $32,995.92	Facility		$55.00	$3,209.96	$32,995.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,837.20 / $4,816.22 / $6,079.85	Facility		$2,837.20	$4,816.22	$6,079.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,439.80 / $4,490.88 / $4,870.89	Facility		$3,439.80	$4,490.88	$4,870.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,209.96 / $3,209.96 / $3,322.39	Facility		$3,209.96	$3,209.96	$3,322.39
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