Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,840.93 / $7,920.26 / $20,680.40	Facility		$3,840.93	$7,920.26	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,260.47 / $43,759.32	Facility		$55.00	$4,260.47	$43,759.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,781.43 / $6,391.89 / $8,068.90	Facility		$3,781.43	$6,391.89	$8,068.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,521.35 / $5,979.63 / $6,463.49	Facility		$4,521.35	$5,979.63	$6,463.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,260.47 / $4,260.47 / $4,408.68	Facility		$4,260.47	$4,260.47	$4,408.68
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