Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,746.48 / $3,997.67 / $20,680.40	Facility		$1,746.48	$3,997.67	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,920.72 / $16,402.70	Facility		$55.00	$1,920.72	$16,402.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,739.63 / $2,937.87 / $3,708.66	Facility		$1,739.63	$2,937.87	$3,708.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,099.65 / $2,726.30 / $2,890.38	Facility		$2,099.65	$2,726.30	$2,890.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,920.72 / $1,920.72 / $1,971.50	Facility		$1,920.72	$1,920.72	$1,971.50
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