Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.05 / $4,243.89 / $20,680.40	Facility		$1,861.05	$4,243.89	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,046.65 / $21,188.04	Facility		$55.00	$2,046.65	$21,188.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,815.07 / $3,052.95 / $3,853.94	Facility		$1,815.07	$3,052.95	$3,853.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,181.48 / $2,908.18 / $3,121.53	Facility		$2,181.48	$2,908.18	$3,121.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,046.65 / $2,046.65 / $2,129.16	Facility		$2,046.65	$2,046.65	$2,129.16
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