Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,050.51 / $6,126.26 / $20,680.40	Facility		$3,050.51	$6,126.26	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,298.29 / $33,741.83	Facility		$55.00	$3,298.29	$33,741.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,895.42 / $4,784.85 / $6,040.23	Facility		$2,895.42	$4,784.85	$6,040.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,381.81 / $4,597.51 / $4,943.93	Facility		$3,381.81	$4,597.51	$4,943.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,298.29 / $3,298.29 / $3,372.20	Facility		$3,298.29	$3,298.29	$3,372.20
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