Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,964.96 / $7,920.26 / $20,680.40	Facility		$3,964.96	$7,920.26	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,286.74 / $43,849.68	Facility		$55.00	$4,286.74	$43,849.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,822.43 / $6,313.77 / $7,970.28	Facility		$3,822.43	$6,313.77	$7,970.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,489.85 / $5,991.49 / $6,436.69	Facility		$4,489.85	$5,991.49	$6,436.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,286.74 / $4,286.74 / $4,390.39	Facility		$4,286.74	$4,286.74	$4,390.39
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