Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,138.25 / $7,950.59 / $20,680.40	Facility		$4,138.25	$7,950.59	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,565.79 / $62,582.08	Facility		$55.00	$4,565.79	$62,582.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,059.00 / $6,816.66 / $8,605.12	Facility		$4,059.00	$6,816.66	$8,605.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,910.93 / $6,427.60 / $6,930.48	Facility		$4,910.93	$6,427.60	$6,930.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,565.79 / $4,565.79 / $4,727.21	Facility		$4,565.79	$4,565.79	$4,727.21
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