Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,669.62 / $7,240.27 / $20,680.40	Facility		$3,669.62	$7,240.27	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,025.81 / $40,983.72	Facility		$55.00	$4,025.81	$40,983.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,463.68 / $5,960.13 / $7,523.87	Facility		$3,463.68	$5,960.13	$7,523.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,033.46 / $5,543.16 / $6,023.30	Facility		$4,033.46	$5,543.16	$6,023.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,025.81 / $4,025.81 / $4,108.43	Facility		$4,025.81	$4,025.81	$4,108.43
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