Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,988.70 / $6,236.08 / $20,680.40	Facility		$2,988.70	$6,236.08	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,304.18 / $33,834.83	Facility		$55.00	$3,304.18	$33,834.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,931.91 / $4,943.18 / $6,240.10	Facility		$2,931.91	$4,943.18	$6,240.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,540.25 / $4,637.52 / $4,998.20	Facility		$3,540.25	$4,637.52	$4,998.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,304.18 / $3,304.18 / $3,409.22	Facility		$3,304.18	$3,304.18	$3,409.22
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