Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,807.37 / $7,831.31 / $20,680.40	Facility		$3,807.37	$7,831.31	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,100.56 / $42,198.36	Facility		$55.00	$4,100.56	$42,198.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,695.67 / $6,112.17 / $7,667.39	Facility		$3,695.67	$6,112.17	$7,667.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,276.35 / $5,815.13 / $6,085.32	Facility		$4,276.35	$5,815.13	$6,085.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.56 / $4,100.56 / $4,146.35	Facility		$4,100.56	$4,100.56	$4,146.35
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