Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,526.82 / $6,960.59 / $20,680.40	Facility		$3,526.82	$6,960.59	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,609.96 / $18,717.18	Facility		$55.00	$3,609.96	$18,717.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,233.07 / $5,365.44 / $6,707.64	Facility		$3,233.07	$5,365.44	$6,707.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,802.89 / $5,057.25 / $5,355.98	Facility		$3,802.89	$5,057.25	$5,355.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,609.96 / $3,609.96 / $3,653.26	Facility		$3,609.96	$3,609.96	$3,653.26
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