Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,020.57 / $9,710.04 / $20,680.40	Facility		$5,020.57	$9,710.04	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,578.70 / $76,224.32	Facility		$55.00	$5,578.70	$76,224.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,958.54 / $8,317.68 / $10,499.96	Facility		$4,958.54	$8,317.68	$10,499.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,002.99 / $7,776.94 / $8,454.73	Facility		$6,002.99	$7,776.94	$8,454.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,578.70 / $5,578.70 / $5,766.88	Facility		$5,578.70	$5,578.70	$5,766.88
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