Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,593.93 / $3,633.15 / $20,680.40	Facility		$1,593.93	$3,633.15	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,734.54 / $17,910.00	Facility		$55.00	$1,734.54	$17,910.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,567.84 / $2,584.23 / $3,262.25	Facility		$1,567.84	$2,584.23	$3,262.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,861.02 / $2,469.62 / $2,617.69	Facility		$1,861.02	$2,469.62	$2,617.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,734.54 / $1,734.54 / $1,785.50	Facility		$1,734.54	$1,734.54	$1,785.50
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