Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,680.34 / $5,128.00 / $20,680.40	Facility		$2,680.34	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,955.83 / $30,310.08	Facility		$55.00	$2,955.83	$30,310.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,619.90 / $4,401.92 / $5,556.83	Facility		$2,619.90	$4,401.92	$5,556.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,163.93 / $4,157.06 / $4,468.22	Facility		$3,163.93	$4,157.06	$4,468.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,955.83 / $2,955.83 / $3,047.73	Facility		$2,955.83	$2,955.83	$3,047.73
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