Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,013.33 / $6,045.55 / $20,680.40	Facility		$3,013.33	$6,045.55	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,242.12 / $33,378.48	Facility		$55.00	$3,242.12	$33,378.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,824.80 / $4,679.16 / $5,888.90	Facility		$2,824.80	$4,679.16	$5,888.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,290.24 / $4,549.97 / $4,834.72	Facility		$3,290.24	$4,549.97	$4,834.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.12 / $3,242.12 / $3,297.71	Facility		$3,242.12	$3,242.12	$3,297.71
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