Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.95 / $3,870.09 / $20,680.40	Facility		$1,707.95	$3,870.09	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,869.98 / $19,324.68	Facility		$55.00	$1,869.98	$19,324.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,647.79 / $2,775.35 / $3,503.50	Facility		$1,647.79	$2,775.35	$3,503.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,963.19 / $2,658.22 / $2,843.48	Facility		$1,963.19	$2,658.22	$2,843.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,869.98 / $1,869.98 / $1,939.51	Facility		$1,869.98	$1,869.98	$1,939.51
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