Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.45 / $2,745.86 / $20,680.40	Facility		$1,215.45	$2,745.86	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,332.73 / $12,724.69	Facility		$55.00	$1,332.73	$12,724.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,171.36 / $1,963.46 / $2,478.60	Facility		$1,171.36	$1,963.46	$2,478.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,396.01 / $1,897.44 / $2,040.15	Facility		$1,396.01	$1,897.44	$2,040.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.73 / $1,332.73 / $1,391.57	Facility		$1,332.73	$1,332.73	$1,391.57
United Facility/Professional Facility Modifier Low / Median / High Price $987.54 / $1,612.00 / $5,793.00	Facility		$987.54	$1,612.00	$5,793.00