Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.51 / $2,904.38 / $20,680.40	Facility		$1,259.51	$2,904.38	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,373.50 / $11,885.50	Facility		$55.00	$1,373.50	$11,885.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,245.99 / $2,056.23 / $2,595.71	Facility		$1,245.99	$2,056.23	$2,595.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,482.25 / $1,967.14 / $2,087.05	Facility		$1,482.25	$1,967.14	$2,087.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,373.50 / $1,373.50 / $1,423.56	Facility		$1,373.50	$1,373.50	$1,423.56
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