Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,579.64 / $7,416.67 / $20,680.40	Facility		$3,579.64	$7,416.67	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,947.90 / $40,542.48	Facility		$55.00	$3,947.90	$40,542.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,506.73 / $5,882.01 / $7,425.25	Facility		$3,506.73	$5,882.01	$7,425.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,221.35 / $5,566.77 / $5,983.77	Facility		$4,221.35	$5,566.77	$5,983.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,947.90 / $3,947.90 / $4,081.47	Facility		$3,947.90	$3,947.90	$4,081.47
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