Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,614.53 / $7,237.21 / $20,680.40	Facility		$3,614.53	$7,237.21	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,903.05 / $39,863.28	Facility		$55.00	$3,903.05	$39,863.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,441.54 / $5,701.36 / $7,197.20	Facility		$3,441.54	$5,701.36	$7,197.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,015.54 / $5,468.52 / $5,844.41	Facility		$4,015.54	$5,468.52	$5,844.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,903.05 / $3,903.05 / $3,986.41	Facility		$3,903.05	$3,903.05	$3,986.41
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