Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.99 / $441.36 / $14,464.32	Facility		$138.99	$441.36	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $339.11 / $339.11	Facility		$55.00	$339.11	$339.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $189.60 / $405.82	Facility		$101.12	$189.60	$405.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.60 / $314.23 / $328.97	Facility		$180.60	$314.23	$328.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.78 / $223.78 / $224.39	Facility		$223.78	$223.78	$224.39
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00