Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.39 / $3,374.76 / $20,680.40	Facility		$1,501.39	$3,374.76	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,635.33 / $15,543.66	Facility		$55.00	$1,635.33	$15,543.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,445.25 / $2,420.32 / $3,055.33	Facility		$1,445.25	$2,420.32	$3,055.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,709.32 / $2,331.60 / $2,492.40	Facility		$1,709.32	$2,331.60	$2,492.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,635.33 / $1,635.33 / $1,700.04	Facility		$1,635.33	$1,635.33	$1,700.04
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