Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.59 / $3,233.96 / $20,680.40	Facility		$1,400.59	$3,233.96	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,519.82 / $15,810.60	Facility		$55.00	$1,519.82	$15,810.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.47 / $2,279.42 / $2,877.47	Facility		$1,380.47	$2,279.42	$2,877.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,649.83 / $2,188.48 / $2,299.44	Facility		$1,649.83	$2,188.48	$2,299.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,519.82 / $1,519.82 / $1,568.42	Facility		$1,519.82	$1,519.82	$1,568.42
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