Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.50 / $1,506.00 / $20,680.40	Facility		$685.50	$1,506.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $765.57 / $7,289.92	Facility		$55.00	$765.57	$7,289.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.35 / $1,103.51 / $1,362.13	Facility		$588.35	$1,103.51	$1,362.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $766.48 / $1,078.70 / $1,167.14	Facility		$766.48	$1,078.70	$1,167.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $765.57 / $765.57 / $796.09	Facility		$765.57	$765.57	$796.09
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