Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,638.57 / $7,516.02 / $20,680.40	Facility		$3,638.57	$7,516.02	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,937.48 / $40,236.48	Facility		$55.00	$3,937.48	$40,236.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,571.32 / $5,885.49 / $7,409.40	Facility		$3,571.32	$5,885.49	$7,409.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,280.14 / $5,529.81 / $5,904.44	Facility		$4,280.14	$5,529.81	$5,904.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,937.48 / $3,937.48 / $4,013.83	Facility		$3,937.48	$3,937.48	$4,013.83
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