Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,767.39 / $4,053.40 / $20,680.40	Facility		$1,767.39	$4,053.40	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,941.56 / $18,688.12	Facility		$55.00	$1,941.56	$18,688.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,645.74 / $2,924.61 / $3,682.96	Facility		$1,645.74	$2,924.61	$3,682.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,024.73 / $2,759.44 / $2,978.15	Facility		$2,024.73	$2,759.44	$2,978.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,941.56 / $1,941.56 / $2,031.37	Facility		$1,941.56	$1,941.56	$2,031.37
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