Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.28 / $2,769.52 / $18,711.00	Facility		$138.28	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $101.93 / $2,223.27 / $12,000.00	Facility		$101.93	$2,223.27	$12,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.38 / $154.41 / $198.38	Facility		$89.38	$154.41	$198.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.54 / $142.71 / $150.75	Facility		$107.54	$142.71	$150.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.45 / $101.45 / $101.93	Facility		$101.45	$101.45	$101.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,764.72 / $1,764.72 / $2,223.27	Facility		$1,764.72	$1,764.72	$2,223.27
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00