Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.38 / $3,783.28 / $20,680.40	Facility		$1,668.38	$3,783.28	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,823.78 / $17,204.11	Facility		$55.00	$1,823.78	$17,204.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,512.08 / $2,741.87 / $3,409.42	Facility		$1,512.08	$2,741.87	$3,409.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,897.79 / $2,523.06 / $2,742.31	Facility		$1,897.79	$2,523.06	$2,742.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,823.78 / $1,823.78 / $1,870.50	Facility		$1,823.78	$1,823.78	$1,870.50
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