Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,292.51 / $5,116.62 / $23,193.82	Facility		$2,292.51	$5,116.62	$23,193.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,518.23 / $25,968.72	Facility		$55.00	$2,518.23	$25,968.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,215.64 / $3,738.60 / $4,719.47	Facility		$2,215.64	$3,738.60	$4,719.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,667.56 / $3,557.70 / $3,828.38	Facility		$2,667.56	$3,557.70	$3,828.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.23 / $2,518.23 / $2,611.30	Facility		$2,518.23	$2,518.23	$2,611.30
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