Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,716.61 / $5,491.03 / $20,680.40	Facility		$2,716.61	$5,491.03	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,886.97 / $29,687.76	Facility		$55.00	$2,886.97	$29,687.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,579.50 / $4,263.39 / $5,351.67	Facility		$2,579.50	$4,263.39	$5,351.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,975.80 / $4,080.57 / $4,281.97	Facility		$2,975.80	$4,080.57	$4,281.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,886.97 / $2,886.97 / $2,920.69	Facility		$2,886.97	$2,886.97	$2,920.69
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