Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,851.90 / $7,694.39 / $20,680.40	Facility		$3,851.90	$7,694.39	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,094.67 / $41,767.32	Facility		$55.00	$4,094.67	$41,767.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,681.24 / $6,050.11 / $7,842.26	Facility		$3,681.24	$6,050.11	$7,842.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,247.13 / $5,805.22 / $6,092.31	Facility		$4,247.13	$5,805.22	$6,092.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,094.67 / $4,094.67 / $4,155.50	Facility		$4,094.67	$4,094.67	$4,155.50
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