Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.09 / $2,291.00 / $18,711.00	Facility		$225.09	$2,291.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $248.70 / $655.48	Facility		$55.00	$248.70	$655.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $175.36 / $307.80 / $442.01	Facility		$175.36	$307.80	$442.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $210.23 / $339.02 / $374.53	Facility		$210.23	$339.02	$374.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.70 / $248.70 / $255.46	Facility		$248.70	$248.70	$255.46
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $910.00 / $5,793.00	Facility		$190.00	$910.00	$5,793.00