Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,655.59 / $7,366.15 / $20,680.40	Facility		$3,655.59	$7,366.15	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,949.25 / $40,419.83	Facility		$55.00	$3,949.25	$40,419.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,494.08 / $5,742.51 / $7,249.15	Facility		$3,494.08	$5,742.51	$7,249.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,089.66 / $5,568.88 / $5,927.49	Facility		$4,089.66	$5,568.88	$5,927.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,949.25 / $3,949.25 / $4,043.08	Facility		$3,949.25	$3,949.25	$4,043.08
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