Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,940.10 / $4,417.30 / $20,680.40	Facility		$1,940.10	$4,417.30	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,139.96 / $21,870.72	Facility		$55.00	$2,139.96	$21,870.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,885.59 / $3,172.92 / $4,005.39	Facility		$1,885.59	$3,172.92	$4,005.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,248.67 / $3,021.05 / $3,222.70	Facility		$2,248.67	$3,021.05	$3,222.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,139.96 / $2,139.96 / $2,198.17	Facility		$2,139.96	$2,139.96	$2,198.17
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00