Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,039.36 / $7,920.26 / $20,680.40	Facility		$4,039.36	$7,920.26	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,421.28 / $45,257.64	Facility		$55.00	$4,421.28	$45,257.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,896.64 / $6,487.44 / $8,189.53	Facility		$3,896.64	$6,487.44	$8,189.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,612.43 / $6,184.25 / $6,660.47	Facility		$4,612.43	$6,184.25	$6,660.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,421.28 / $4,421.28 / $4,543.04	Facility		$4,421.28	$4,421.28	$4,543.04
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