Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.94 / $3,581.41 / $27,982.24	Facility		$1,726.94	$3,581.41	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,900.34 / $19,535.04	Facility		$55.00	$1,900.34	$19,535.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,680.18 / $2,838.12 / $3,582.75	Facility		$1,680.18	$2,838.12	$3,582.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,022.72 / $2,688.29 / $2,878.32	Facility		$2,022.72	$2,688.29	$2,878.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,900.34 / $1,900.34 / $1,963.27	Facility		$1,900.34	$1,900.34	$1,963.27
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