Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,841.27 / $7,283.00 / $20,680.40	Facility		$3,841.27	$7,283.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,120.04 / $42,824.64	Facility		$55.00	$4,120.04	$42,824.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,720.29 / $6,155.35 / $7,718.46	Facility		$3,720.29	$6,155.35	$7,718.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,454.66 / $5,925.52 / $6,188.79	Facility		$4,454.66	$5,925.52	$6,188.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,120.04 / $4,120.04 / $4,221.31	Facility		$4,120.04	$4,120.04	$4,221.31
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