Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,750.45 / $5,613.49 / $20,680.40	Facility		$2,750.45	$5,613.49	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,926.83 / $30,390.48	Facility		$55.00	$2,926.83	$30,390.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,602.42 / $4,356.47 / $5,399.22	Facility		$2,602.42	$4,356.47	$5,399.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,148.06 / $4,170.08 / $4,359.02	Facility		$3,148.06	$4,170.08	$4,359.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,926.83 / $2,926.83 / $2,973.24	Facility		$2,926.83	$2,926.83	$2,973.24
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