Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,171.47 / $6,387.82 / $20,680.40	Facility		$3,171.47	$6,387.82	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,378.02 / $34,758.00	Facility		$55.00	$3,378.02	$34,758.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,962.73 / $4,907.64 / $6,188.31	Facility		$2,962.73	$4,907.64	$6,188.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,460.78 / $4,726.18 / $5,012.27	Facility		$3,460.78	$4,726.18	$5,012.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,378.02 / $3,378.02 / $3,418.82	Facility		$3,378.02	$3,378.02	$3,418.82
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