Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,769.61 / $5,714.47 / $20,680.40	Facility		$2,769.61	$5,714.47	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,042.80 / $41,832.32	Facility		$55.00	$3,042.80	$41,832.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,697.39 / $4,496.78 / $5,676.58	Facility		$2,697.39	$4,496.78	$5,676.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,213.69 / $4,282.89 / $4,628.35	Facility		$3,213.69	$4,282.89	$4,628.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,042.80 / $3,042.80 / $3,156.96	Facility		$3,042.80	$3,042.80	$3,156.96
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