Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,087.10 / $9,827.56 / $20,680.40	Facility		$5,087.10	$9,827.56	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,662.95 / $77,299.36	Facility		$55.00	$5,662.95	$77,299.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,012.25 / $8,407.66 / $10,613.54	Facility		$5,012.25	$8,407.66	$10,613.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,101.48 / $7,933.04 / $8,566.62	Facility		$6,101.48	$7,933.04	$8,566.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,662.95 / $5,662.95 / $5,843.20	Facility		$5,662.95	$5,662.95	$5,843.20
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