Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,341.12 / $4,841.01 / $20,680.40	Facility		$2,341.12	$4,841.01	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,578.48 / $26,508.96	Facility		$55.00	$2,578.48	$26,508.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,275.91 / $3,811.83 / $4,811.93	Facility		$2,275.91	$3,811.83	$4,811.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,740.08 / $3,645.33 / $3,907.44	Facility		$2,740.08	$3,645.33	$3,907.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,578.48 / $2,578.48 / $2,665.22	Facility		$2,578.48	$2,578.48	$2,665.22
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