Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,921.14 / $4,447.31 / $20,680.40	Facility		$1,921.14	$4,447.31	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,122.76 / $21,882.12	Facility		$55.00	$2,122.76	$21,882.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,911.01 / $3,170.83 / $4,002.75	Facility		$1,911.01	$3,170.83	$4,002.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,292.71 / $3,006.56 / $3,203.27	Facility		$2,292.71	$3,006.56	$3,203.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,122.76 / $2,122.76 / $2,184.92	Facility		$2,122.76	$2,122.76	$2,184.92
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