Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,495.56 / $5,140.32 / $20,680.40	Facility		$2,495.56	$5,140.32	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,750.16 / $28,262.64	Facility		$55.00	$2,750.16	$28,262.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,431.30 / $4,108.97 / $5,187.02	Facility		$2,431.30	$4,108.97	$5,187.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,932.16 / $3,879.83 / $4,168.74	Facility		$2,932.16	$3,879.83	$4,168.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,750.16 / $2,750.16 / $2,843.45	Facility		$2,750.16	$2,750.16	$2,843.45
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