Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.61 / $2,894.58 / $20,680.40	Facility		$1,208.61	$2,894.58	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,317.32 / $12,437.70	Facility		$55.00	$1,317.32	$12,437.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,193.64 / $2,029.72 / $2,562.25	Facility		$1,193.64	$2,029.72	$2,562.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,465.13 / $1,863.21 / $2,026.08	Facility		$1,465.13	$1,863.21	$2,026.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,317.32 / $1,317.32 / $1,359.12	Facility		$1,317.32	$1,317.32	$1,359.12
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